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目的 探讨临时心脏起搏术治疗急性中毒并严重缓慢心律失常的疗效.方法 对38例急性中毒并严重缓慢心律失常患者在急诊救治过程中随机采用临时心脏起搏器治疗(起搏组,18例)和药物治疗(对照组,20例),再进行解毒治疗.结果 起搏组18例经床旁临时心脏起搏术右心室起搏成功并置入临时心脏起搏器,配合解毒治疗措施,心律失常改善有效率为100%,中毒治愈率为89%;而对照组分别为为60%和65%;两组差异均有统计学意义(P＜0.05).结论 床旁临时心脏起搏术用于抢救急性中毒并严重缓慢性心律失常疗效确切,能有效提高抢救成功率.

Objective To explore the value of using the temporary cardiac pacing on the acute poisoning patients with serious bradycardia. Methods 38 cases of the acute poisoning patients with serious bradycardia patients were treated randomly with temporary cardiac pacing(pacing group,18 cases) and drug therapy(control group,20 cases) and then treated their poisoning. Results 18 cases of pacing group were right ventricular pacing successfully and placed the temporary cardiac pacemaker,with the further treatment of poisoning, the efficiency of anti-bradycardia was 100% ,the poisoning cure rate was 89% ;The control group were 60% and 65% respectively;There were statistically significant difference between two groups ( P < 0.05 ). Conclusion The treatment of temporary cardiac pacing were exactly for the acute poisoning patients with serious bradycardia. It could effectively improve the rate of patients' resuscitation.