紧急床边临时心脏起搏40例临床总结

目的总结紧急床边临时心脏起搏的治疗效果和安全性。方法对40例严重缓慢性心律失常患者应用Seldinger技术穿刺左锁骨下静脉，在心电监护和起搏脉冲引导下置入普通临时起搏电极至右心室内膜夺获心室。结果全部病例均起搏成功，操作时间3～18min，起搏持续时间2—14d，未发生严重起搏操作相关并发症。结论经静脉紧急床边临时心脏起搏方便、安全、快捷，成功率高，值得在临床推广应用。

Clinical summarization of 40 cases with temporary cardiac pacing by bedside emergently

Objective To summarize the effect and safety of temporary cardiac pacing by bedside emergently. Methods 40 cases with serious bradyarrhythmias were involved. The left subclavian vein was punctured with Seldinger's technique and the commom temporary pacing lead was inserted into the right ventricle to capture the ventricle under the monitoring of electocardiogram and pacing impulse. Results All of the cases were paced successfully. The procedure lasted 3～18 min and the temporary pacing lasted 2～14 d without serious complications happened. Conclusions Temporary transvenous endocardial pacing by bedside emergently is convenient, safe, rapid and effective and is worthy of clinical application.