CAJ | 학술논문

目的探讨在临时心脏起搏术支持下对急性中毒并严重缓慢心律失常进行中毒抢救的,临床意义.方法对38例急性中毒并严重缓慢心律失常患者在急诊救治过程中随机采用临时心脏起搏器治疗(起搏组,18例)和药物治疗(对照组,20例),再进行解毒治疗.结果起搏组18例经床旁临时心脏起搏术右心室起搏成功并置入临时心脏起搏器,配合解毒治疗措施后心律失常改善有效率为100%,而对照组为60%,2组比较差异有统计学意义(x2=19.7,P<0.01).中毒治愈率起搏组为88.9%,对照组为65.0%,2组比较差异有统计学意义(x2=8.2,P<0.05).结论床旁临时心脏起搏术在抢救急性中毒并严重缓慢性心律失常患者的疗效确切,能有效提高患者的抢救成功率.
목적 탐토재림시심장기박술지지하대급성중독병엄중완만심률실상진행중독창구적,림상의의.방법 대38례급성중독병엄중완만심률실상환자재급진구치과정중수궤채용림시심장기박기치료(기박조,18례)화약물치료(대조조,20례),재진행해독치료.결과 기박조18례경상방림시심장기박술우심실기박성공병치입림시심장기박기,배합해독치료조시후심률실상개선유효솔위100%,이대조조위60%,2조비교차이유통계학의의(x2=19.7,P<0.01).중독치유솔기박조위88.9%,대조조위65.0%,2조비교차이유통계학의의(x2=8.2,P<0.05).결론 상방림시심장기박술재창구급성중독병엄중완만성심률실상환자적료효학절,능유효제고환자적창구성공솔.
Objective To explore the efficiency of temporary cardiac pacing on the acute poisoning patients with serious bradycardia.Methods Thirty-eight cases of the acute poisoning patients with serious bradycardia were treated randomly with temporary cardiac pacing (pacing group, 18 cases) and drug therapy (control group,20 cases) and followed with treatment for poisoning. Results Right ventricular pacing were successfully performed in 18 cases and the temporary cardiac pacemaker were placed. With the further treatment of poisoning, in the pacing group, the efficiency of anit-bradycardia and the poisoning cure rate was 100% and 88. 9% , respectively, whereas being 60% and 65.0% in the control group, respectively. The efficiency of anit-bradycardia and the poisoning cure rate were significantly different between the two groups (P < 0.01 or P < 0.05 ). Conclusions The treatment of temporary cardiac pacing has effect on the acute poisoning patients with serious bradycardi. It can effectively improve the rate of patients' resuscitation.