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本文分析了我院近四年来心脏起搏器的临床应用情况。我们主要应用于严重缓慢型心律失常:包括Ⅲ度房室传导阻滞、病窦综合征、完全性双束支阻滞;对快速型异位心律之治疗,我们的初步观察亦获得相当满意的效果。结合我们的初步临床实践讨论了人工起搏的适应症、起搏方法、起搏阈值变化规律及临床意义。我们认为:人工起搏在治疗严重心律失常时疗效相当确切满意。当已有严重缓慢型心律失常产生临床症状而药物治疗效果不佳时,应当积极选择人工心脏起搏治疗,切勿躇踌以免丧失抢救时机;对快速型心律失常,人工起搏亦是一个新的可供选择的积极有效的治疗办法。
This article analyzes the clinical application of pacemakers in our hospital for nearly four years. We are mainly used in severe arrhythmia: including Ⅲ degree atrioventricular block, sick sinus syndrome, complete double bundle branch block; rapid ectopic heart rhythm treatment, our preliminary observations have also been quite satisfied effect. Combined with our initial clinical practice to discuss the indications for artificial pacing, pacing methods, changes in pacing threshold and clinical significance. We think: artificial pacing in the treatment of severe arrhythmia, the effect is quite satisfactory. When there have been serious clinical symptoms of slow arrhythmia and poor drug treatment, we should actively choose artificial cardiac pacing therapy, do not hesitate to avoid losing the opportunity to rescue; for rapid arrhythmia, artificial pacing is also a new The choice of active and effective treatment.