CAJ | 학술논문

目的：探讨临时心脏起搏器在中老年缓慢心律失常患者围手术期的保护作用。方法：对22例合并缓慢心律失常的非心脏手术患者在手术前予临时心脏起搏器安装术，了解心脏起搏器在围手术期工作情况，并密切观察患者的心率、心律、血压等生命体征变化。结果：16例患者在起搏条件下完成手术，其中10例术后起搏器继续工作，直至生命体征平稳后拔管，1例患者起搏器依赖，予永久心脏起搏器安装术后拔管；6例患者临时起搏器处于备而未用状态；所有患者均安全地度过了围手术期。结论：合并缓慢心律失常的非心脏手术患者围手术期临时心脏起搏器安装术十分必要，提高了患者围手术期的安全性。
목적：탐토림시심장기박기재중노년완만심률실상환자위수술기적보호작용。방법：대22례합병완만심률실상적비심장수술환자재수술전여림시심장기박기안장술，료해심장기박기재위수술기공작정황，병밀절관찰환자적심솔、심률、혈압등생명체정변화。결과：16례환자재기박조건하완성수술，기중10례술후기박기계속공작，직지생명체정평은후발관，1례환자기박기의뢰，여영구심장기박기안장술후발관；6례환자림시기박기처우비이미용상태；소유환자균안전지도과료위수술기。결론：합병완만심률실상적비심장수술환자위수술기림시심장기박기안장술십분필요，제고료환자위수술기적안전성。
Objective To discussion the protection of temporary cardiac pacemaker on perioperative period in midadged bradyarrhythmias patients .methods Temporary cardiac pacemaker was placed in 22 cases noncardiac operations with bradyarrhythmias before operation ,the working condition of cardiac pacemaker and heart rate、cardiac rhythm and blood pressure were observed .Results 16 cases were finished in condition of pacemaker working ,and pacemake have been still working on 10 cases after operation ,untill signs were stable ;1 pacemaker dependent patient received treatment of permanent cardiac pacemaker .6 cases keeps standby status .The perioperative period was passed safely in all cases .Conclusion It is necessary that temporary cardiac pacemaker placed on perioperative peri-od of noncardiac operations with bradyarrhythmias ,and improves the security of the patients undergoing noncardiac operations .