广州医药
廣州醫藥
엄주의약
GUANGZHOU MEDICAL JOURNAL
2014年
5期
41-43
,共3页
心脏起搏%无创性%心脏骤停%缓慢性心律失常%恢复心跳
心髒起搏%無創性%心髒驟停%緩慢性心律失常%恢複心跳
심장기박%무창성%심장취정%완만성심률실상%회복심도
Cardiac Pacing%Noninvasive%Cardiac arrest%Slow arrhythmia%Recovery heart
目的:评价在急诊抢救时对心脏骤停及严重缓慢性心律失常实施体外无创性临时心脏起搏的临床效果。方法对2008年1月-2013年12月在我急诊科抢救的83例心脏骤停患者、45例缓慢性心律失常患者根据当时疾病的严重程度及不同医生的治疗观点分为二组:A 组:实施体外无创性临时心脏起搏结合药物治疗;B 组:常规药物治疗。治疗期间严密观察心电监护,心跳,血压,统计比较两组恢复正常心跳的成功率。结果通过临床观察对比统计,A 组:心脏骤停及缓慢性心律失常病例中恢复心跳分别为36例(85.7%)和23例(100%)。B 组:心脏骤停及缓慢性心律失常病例中恢复心跳分别为23例(56.1%)和15例(68.1%)。A 组恢复正常心跳成功率较 B 组高。结论在急诊抢救领域中对心脏骤停及严重缓慢性心律失常患者实施体外起搏的临床疗效较好,抢救成功率高,并且使用安全、简便、快捷是治疗缓慢性心律失常、预防和抢救心脏骤停的好手段,值得在临床急救推广使用。
目的:評價在急診搶救時對心髒驟停及嚴重緩慢性心律失常實施體外無創性臨時心髒起搏的臨床效果。方法對2008年1月-2013年12月在我急診科搶救的83例心髒驟停患者、45例緩慢性心律失常患者根據噹時疾病的嚴重程度及不同醫生的治療觀點分為二組:A 組:實施體外無創性臨時心髒起搏結閤藥物治療;B 組:常規藥物治療。治療期間嚴密觀察心電鑑護,心跳,血壓,統計比較兩組恢複正常心跳的成功率。結果通過臨床觀察對比統計,A 組:心髒驟停及緩慢性心律失常病例中恢複心跳分彆為36例(85.7%)和23例(100%)。B 組:心髒驟停及緩慢性心律失常病例中恢複心跳分彆為23例(56.1%)和15例(68.1%)。A 組恢複正常心跳成功率較 B 組高。結論在急診搶救領域中對心髒驟停及嚴重緩慢性心律失常患者實施體外起搏的臨床療效較好,搶救成功率高,併且使用安全、簡便、快捷是治療緩慢性心律失常、預防和搶救心髒驟停的好手段,值得在臨床急救推廣使用。
목적:평개재급진창구시대심장취정급엄중완만성심률실상실시체외무창성림시심장기박적림상효과。방법대2008년1월-2013년12월재아급진과창구적83례심장취정환자、45례완만성심률실상환자근거당시질병적엄중정도급불동의생적치료관점분위이조:A 조:실시체외무창성림시심장기박결합약물치료;B 조:상규약물치료。치료기간엄밀관찰심전감호,심도,혈압,통계비교량조회복정상심도적성공솔。결과통과림상관찰대비통계,A 조:심장취정급완만성심률실상병례중회복심도분별위36례(85.7%)화23례(100%)。B 조:심장취정급완만성심률실상병례중회복심도분별위23례(56.1%)화15례(68.1%)。A 조회복정상심도성공솔교 B 조고。결론재급진창구영역중대심장취정급엄중완만성심률실상환자실시체외기박적림상료효교호,창구성공솔고,병차사용안전、간편、쾌첩시치료완만성심률실상、예방화창구심장취정적호수단,치득재림상급구추엄사용。
Objective To evaluate clinic effect in the emergency rescue of sudden cardiac arrest and severe tardy ar-rhythmia in vitro noninvasive temporary cardiac pacemaker. Methods January 2008 -December 201 3 in emergency rescue of 83 patients with cardiac arrest,45 cases of tardy arrhythmia patients were divided into two groups:Group A:In vitro non-inva-sive temporary pacemaker combined with drug therapy;Group B:Routine drug therapy.Closely observe the ECG monitoring dur-ing treatment,heart rate,blood pressure,statistical comparison of two groups of normal heart rate. Results By compared with clinical observation statistics,Group A:36 cases was cardiac arrest and tardy arrhythmia cases heart back,85.7%,and 23 cases was accounting for 1 00%.Group B:Cardiac arrest and tardy arrhythmia cases to restore the heart of 23 cases accounting was for 56.1 % and 1 5 cases,accounting for 68.1 %,respectively.Group A normal heart rate higher than group B. Conclu-sion In emergency rescue,clinical effect of patients with cardiac arrest and severe tardy arrhythmia in vitro pacemaker were bet-ter,rescuing success rate was higher,safe,and easy to use,is worth popularizing in clinical emergency use.