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暂时性心脏起搏(TP)是处理严重心律失常的重要手段。我院自1973年用心房超速起搏法纠治复发性室性心律失常并发昏厥获得成功后,1973~1985年7月已进行了290例次TP,其中90%病例系因严重缓慢性及/或快速性心律失常而紧急起搏者,余10%则因心脏病合并严重心律失常需进行重大手术而预防性安置心室起搏导管者。现将我们对TP的若干经验与教训作一介绍,以供参考。 一、建立抢救组 早年,我们在抢救心原性昏厥时,常常是临时组织,曾不止一次因除颤器故障、起搏器或导管失灵
Temporary cardiac pacing (TP) is an important means of dealing with severe arrhythmias. In our hospital since 1973, with atrial speeding pacing method of treatment of recurrent ventricular arrhythmia and fainting success, from 1973 to July 1985 had 290 cases of TP, of which 90% of cases due to severe chronic and / Or tachyarrhythmia and emergency pacing, while the remaining 10% were required to have preventive placement of ventricular pacing catheters due to major surgery requiring severe heart disease with severe arrhythmia. Now we have a number of experiences and lessons on TP for an introduction for reference. First, the establishment of early rescue team, we rescue cardiac fainting, often temporary organization, more than once because of defibrillator failure, pacemaker or catheter failure