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

Chinese Journal of Critical Care Medicine

2017, Vol. 37

Issue (10): 943-946 DOI: 10.3969/j.issn.1002-1949.2017.10.017

The comparison of temporary pacemaker was implanted by the guidance of bedside ultrasound and electrocardiogram

Li Chao-zhong, Qian Chuan-yun, Zhang Wei, Li Wan-rong

Department of Emergency Medicine, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China

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Abstract Objective: To compare the clinical value of emergent temporary transvenous pacemaker placement which were implanted by the guidance of ultrasound and traditional electrocardiogram. Methods: We performed a prospective single-center observational study enrolling all 210 arrhythmia patients needing emergent temporary transvenous pacemaker placement in the First Affiliated Hospital of Kunming Medical University from July 2010 to December 2016. A total of 105 patients were treated using the echo-guided approach, and 105 via the electrocardiogram -guided approach. The duration of venipuncture, and the overall incidence of complications, and the time of successful pacing were compared between the two groups. Results: A total of 210 patients were successfully paced, the two groups of patients were statistically significant(P＜0.05)in the puncture time, and the incidence of complications, and decision-making to pacing time. However, the two groups were not statistically significant(P＞0.05)between the sustained tachycardia and the catheter needing to adjust the location. Conclusion: Emergent temporary transvenous pacemaker placement under ultrasound guidance is a safe, rapid and reliable method which reduces postoperative complications.

Received: 18 June 2017

About author:: Li Chao-zhong, E-mail:15877930923@139.com

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	Li Chao-zhong
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Cite this article:

Li Chao-zhong,Qian Chuan-yun,Zhang Wei, et al. The comparison of temporary pacemaker was implanted by the guidance of bedside ultrasound and electrocardiogram[J]. Chinese Journal of Critical Care Medicine, 2017, 37(10): 943-946.

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

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