昆明医科大学学报
昆明醫科大學學報
곤명의과대학학보
Journal of Kunming Medical University
2013年
9期
110-112
,共3页
赖碁%光雪峰%景舒南%李汝红%左明鲜%盖起明
賴碁%光雪峰%景舒南%李汝紅%左明鮮%蓋起明
뢰기%광설봉%경서남%리여홍%좌명선%개기명
急性下壁心肌梗死%高度房室传导阻滞%临时起搏电极导管%并发症
急性下壁心肌梗死%高度房室傳導阻滯%臨時起搏電極導管%併髮癥
급성하벽심기경사%고도방실전도조체%림시기박전겁도관%병발증
Acute inferior wall myocardial infarction%High degree atrioventricular block%Temporary pacing electrode catheter%Complication
目的:分析、总结急性下壁心肌梗死合并高度房室传导阻滞的患者经静脉心脏临时起搏治疗的手术方法。方法选择112例因为急性下壁心肌梗死合并高度房室传导阻滞需要进行经静脉心脏临时起搏治疗的患者,观察研究经静脉心脏临时起搏治疗不同手术方法的安全性、有效性及与并发症的关系。结果全组60例使用普通临时起搏电极导管的病例中出现3例心脏压塞,52例使用漂浮临时起搏电极导管的病例中未出现严重并发症。结论在急性下壁心肌梗死的患者出现高度房室传导阻滞时进行经静脉心脏临时起搏治疗时,选择漂浮临时起搏电极导管安全、有效并且可以减少心肌穿孔等严重并发症的发生。
目的:分析、總結急性下壁心肌梗死閤併高度房室傳導阻滯的患者經靜脈心髒臨時起搏治療的手術方法。方法選擇112例因為急性下壁心肌梗死閤併高度房室傳導阻滯需要進行經靜脈心髒臨時起搏治療的患者,觀察研究經靜脈心髒臨時起搏治療不同手術方法的安全性、有效性及與併髮癥的關繫。結果全組60例使用普通臨時起搏電極導管的病例中齣現3例心髒壓塞,52例使用漂浮臨時起搏電極導管的病例中未齣現嚴重併髮癥。結論在急性下壁心肌梗死的患者齣現高度房室傳導阻滯時進行經靜脈心髒臨時起搏治療時,選擇漂浮臨時起搏電極導管安全、有效併且可以減少心肌穿孔等嚴重併髮癥的髮生。
목적:분석、총결급성하벽심기경사합병고도방실전도조체적환자경정맥심장림시기박치료적수술방법。방법선택112례인위급성하벽심기경사합병고도방실전도조체수요진행경정맥심장림시기박치료적환자,관찰연구경정맥심장림시기박치료불동수술방법적안전성、유효성급여병발증적관계。결과전조60례사용보통림시기박전겁도관적병례중출현3례심장압새,52례사용표부림시기박전겁도관적병례중미출현엄중병발증。결론재급성하벽심기경사적환자출현고도방실전도조체시진행경정맥심장림시기박치료시,선택표부림시기박전겁도관안전、유효병차가이감소심기천공등엄중병발증적발생。
Objective This study was purposed to analyze and summarize the vein temporary cardiac pacing therapy in patients with acute inferior wall myocardial infarction complicated by high degree atrioventricular block (AVB) . Methods One hundred and twelve patients with acute inferior wall myocardial infarction complicated by high degree AVB were selected as observation and research subjects, and they were treated by vein temporary cardiac pacing therapy. The safety, availability of different kinds of this surgical methods and the relationship between these surgical methods and complication were observed. Results Three out of 60 patients who were treated by ordinary temporary pacing electrode catheter were suffering from cardiac tamponade. No serious complications occurred when 52 patients were treated by floating temporary pacing electrode catheter. Conclusion Floating temporary pacing electrode catheter have already proved safe and effective in the treatment of acute inferior wall myocardial infarction complicated by AVB, and it could decrease the incidence of serious complications such as myocardial perforation.