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本文报道为95例严重过缓性心律失常伴晕厥患者施行急诊心脏起搏、随诊、并发症及处理。根据病情急诊心脏起搏予以临时起搏,共23例,永久起搏,共72例,临时起搏方式有经静脉心内膜起搏15例,无创经皮起搏8例。永久起搏除最常用的VVI起搏(其中具有程控功能的起搏器45例)外,另有AAI及DDD起搏器各2例,DDDR起搏器1例,此外,有25例是应邀急诊出诊到兄弟医院去安置的。全部病例急诊起搏均获成功,晕厥及阿斯综合征得以控制,随诊结果示绝大多数病例延长了生命,改善了心功能,提高了生活质量,本文并讨论了不同起搏方式的特点及适应症。
This article reports the implementation of emergency cardiac pacing, follow-up, complication and management in 95 patients with severe bradycardia and syncope. According to the condition of emergency cardiac pacing to temporary pacing, a total of 23 cases, a total of 72 cases of permanent pacing, temporary pacing mode of intravenous endocardial pacing in 15 cases, noninvasive percutaneous pacing in 8 cases. Permanent pacing In addition to the most commonly used VVI pacing (including program-controlled pacemaker in 45 cases), another AAI and DDD pacemaker in 2 cases, DDDR pacemaker in 1 case, in addition, 25 cases were invited Emergency visits to the brothers hospital to resettlement. All cases of emergency pacing were successful, syncope and Asperger syndrome can be controlled, the results of the follow-up showed that the vast majority of cases prolong life, improve heart function and improve the quality of life, this article discusses the characteristics of different pacing mode And indications.