高龄严重心律失常手术患者麻醉前预置临时心脏起搏器的临床应用.pdfVIP

中华灾害救援医学 2015 年 11 月第3 卷第11 期 Chinese Journal of Disaster Medicir陀Vo1.3， No .l 1,November ,2015 627 高龄严重，心律失常手术患者麻醉前预置临时，心脏起梅器 的临床应用 丁雪娇1 ，史 亮 1 ，汪承炜 2 ，朱凯敏1 ，张庆成 2 ，刁宏山 1 ，解温品 1 [摘要] 目的 探讨严重心律失常手术患者麻醉前预置临时心脏起搏器的临床应用。方法 选取高龄严重心律失常手 术患者48 例，随机分对照组和观察组。对照组术前未置入临时心脏起搏器，观察组在麻醉手术前预置临时心脏起搏器，记录 观察组临时起搏器使用情况，比较两组患者术中心律失常情况，以及术后低血压、低氧血症、感染等并发症情况。结果 观 察组24 倒心律失常患者术前成功预置临时心脏起搏器，术中临时起搏器使用率91 .69岛，与术后 48 h 相比，差异有统计学意义 (Z=-3.951 , PO.OOI)。观察组心律失常、血压下降、围术期并发症发生率明显低于对照组(PO.05 )。结论 严重心律失常手 术患者麻醉前预置临时心脏起搏器可稳定循环，减少手术并发症，预后良好，值得推广。 【关键词}严重心律失常;心脏起搏器;麻醉 [申国固书分类号 1 R614.2 Clinical application of temporary cardiac pacemaker on elderly patients witb severe arrbythmia before anestbesia 1 1 DING Xuejiao , SHI Liang, WANG Chengwel, ZHU Kaiminl , ZHANG Qingchenl, DIAO Hongshan , and XIE Wenpin • 1. Department of Anesthesiology, 2. Department of Cardiology, Shanghai Provincial Corps Hospital , Chine.~e People s Armed Police Forces , Shanghai 201103, China Corresponding author: X1E Wenpin , E-mail: wenpinxie@126.com [ Abstract 1 Objective To explore the clinical application of tempor.町cardiac pacemaker on 归网pa创tien盹tsw仇时i扯t由hs阳e肝ve酣r陀ea甜盯时h峙哼酬yt出hm凹ml before anesthesia. Metbods 48 patients with severe arrhythmia were randomly divided into control group and observation group. Temporary cardiac pacemaker was placed on patients in observation group before anesthesia, which was not applied to patients in the control group. The usage of temporary cardiac pacemaker was recorded , and complications like intraoperative arrhythmia, postoperative hypotension , hypoxia and infection of both groups were compared. Results Temporary cardiac pacemakers were successfully placed in the observation group. Its intraoperative use rate was 9 1.6% , which was statistically significant, when compared with 48 h