急诊床旁超声和心电图引导下植入临时心脏起搏器的比较研究

doi:10.3969/j.issn.1002-1949.2017.10.017

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摘要目的：比较在急诊床旁超声引导下与传统心电图引导下两种方法植入临时心脏起搏器的研究。方法：对2010-07～2016-12在昆明医科大学第一附属医院急诊科及心内科就诊的210例心律失常患者植入临时起搏器进行了一个单中心的随机对照研究，其中105例患者经床旁超声引导下植入临时心脏起搏器，105例患者经传统心电图引导下植入临时心脏起搏器。比较两组患者静脉穿刺时间、总的并发症发生率及从决策到成功起搏时间。结果： 210例患者均成功起搏，两组患者在穿刺时间、总的并发症发生率及决策到成功起搏时间等方面比较差异有统计学意义(P＜0.05)，而两组患者持续性心动过速及导管需要调整位置比较均无统计学意义(P＞0.05)。结论：急诊床旁超声引导下植入临时心脏起搏器是一种安全、快速、可靠并减少术后并发症的方法。

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	李朝中
	钱传云
	张玮
	李宛容

收稿日期: 2017-06-18

作者简介: 李朝中（1979-），男，硕士，主治医师，E-mail:15877930923@139.com

引用本文:

李朝中，钱传云，张玮，李宛容. 急诊床旁超声和心电图引导下植入临时心脏起搏器的比较研究[J]. 中国急救医学, 2017, 37(10): 943-946.
Li Chao-zhong, Qian Chuan-yun, Zhang Wei, Li Wan-rong. The comparison of temporary pacemaker was implanted by the guidance of bedside ultrasound and electrocardiogram. Chinese Journal of Critical Care Medicine, 2017, 37(10): 943-946.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2017.10.017 或 http://www.cnemergency.org.cn/CN/Y2017/V37/I10/943

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