床边超声引导心脏起搏器植入:心脏紧急情况下的救命技术

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Noninvasive Electrocardiology Pub Date : 2023-07-19 DOI:10.1111/anec.13071

Rong-Quan Xu MM, Xiao-Feng Huang MM, Ping-Qing Guo MM, Hong-Bin Cai MB, Shao-Dan Feng MD, Zhi-Hong Lin MD

引用次数: 0

摘要

目的探讨超声引导下床边置放临时起搏器抢救心脏急症患者的安全性和有效性。方法本研究纳入194例需要临时起搏器的心脏急症患者，随机分为床边超声引导安装组和心电图引导安装组。床边超声引导安装组105例，年龄约66.3±10.2岁;心电图引导安装组89例，年龄约65.8±9.5岁，两组疾病构成相似。然后，我们比较了两组手术的持续时间、成功率和不良事件的发生。结果两组临床表现相似。床边超声引导安装组静脉穿刺和临时起搏器电极放置成功率均为100%，而心电图引导安装组分别为87.8%和96.7%，两组差异有统计学意义。床边超声引导下安装组穿刺时间明显短于心电图引导下安装组，差异有统计学意义。床边超声引导安装组无血肿、气胸、电极脱位等不良事件发生，心电图引导安装组有13例不良事件发生，差异有统计学意义。结论超声引导下床边置放临时起搏器是一种简单、安全、有效、经济的方法，成功率高，不涉及放射线，可实现电极导管的准确放置。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Ultrasound-guided pacemaker implantation at the bedside: A lifesaving technique for cardiac emergencies

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来源期刊

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.