目的　 探討運用心臟臨時起搏器搶救嚴重心律失常、更換永久性心臟起搏器及心動過緩的外科手術患者圍手術期需用臨時起搏器保護的臨床效果及護理經驗。 方法　 2008年8月－2011年7月，共對30例緩慢型心律失常者實施臨時心臟起搏術。術前做好患者的心理護理，做好器材及藥品準備；術中搶救器械、搶救藥品處于備用狀態，作好術中配合及病情觀察；術后護理，觀察生命體征及相關癥狀變化。 結果　 安置心臟臨時起搏器患者共30例，除1例因合并下壁心肌梗死、嚴重心力衰竭搶救無效死亡外，其余均取得滿意的治療效果，術中、術后無并發癥發生，術后恢復良好，病情穩定出院。 結論　 心臟臨時起博器運用于搶救嚴重心律失常患者、贏得進一步搶救時間，更換永久性心臟起博器患者的臨時保護，以及心動過緩的外科手術患者圍手術期保護，均是一種安全有效的治療方法。做好術前、術中及術后的護理是必要保證。
Objective　 To investigate the clinical effects and nursing experiences of using temporary cardiac pacemaker in emergency rescue for patients with severe arrhythmia, in renewal of permanent cardiac pacemaker, or in peri-operative patients with bradycardia. Methods　 From August 2008 to July 2011, 30 patients with bradycardia arrhythmia underwent temporary cardiac pacemaker implantation surgery. We applied psychological nursing to the patients and made a good preparation of necessary equipments and medicine before operation. During the surgery, all required apparatuses and materials were ready at hand, and careful observation of conditions of the patients was carried out. After operation, the vital signs as well as the development of related symptoms in the patients were closely observed. Results　 There were 30 patients who had temporary cardiac pacemakers implanted. All got satisfying treatment effects except one who died from severe heart failure combined with inferior-wall myocardial infarction. No intraoperative or postoperative complications occurred, and the patients attained good postoperative recuperation before leaving hospital. Conclusion　 Temporary cardiac pacemaker is safe and effective in the emergency rescue of patients with severe arrhythmia, in temporary heart protection for patients undergoing renewal of permanent cardiac pacemaker, and in perioperative protection for patients with bradycardia. Good nursing before, during, and after the operation should be guaranteed.

引用本文： 謝賢敏,陳麗,陳大蓉. 臨時心臟起搏器臨床應用效果及護理配合. 華西醫學, 2012, 27(1): 87-90. doi: CNKI: 51-1356/R.20120115.1552.022 復制