Timothy Pamela Reiswig, Rodeman B J
Loma Linda University Medical Center, Loma Linda, Calif, USA.
AACN Clin Issues. 2004 Jul-Sep;15(3):305-25. doi: 10.1097/00044067-200407000-00002.
Temporary cardiac pacing provides electrical stimulation to a heart compromised by disturbances in the conduction system causing hemodynamic instability. The use of a temporary pacemaker to treat a bradydysrhythmia or in some cases, a tachydysryhthmia, is undertaken when the condition is temporary and a permanent pacemaker is not necessary or available in a timely fashion. Temporary cardiac pacing is utilized in acute situations and for critically ill patient populations requiring immediate therapy. This article discusses the various indications and contraindications to temporary cardiac pacing therapy, reviews the different modalities of temporary pacemakers, and outlines critical considerations in the management of patients being treated with a temporary pacemaker.
临时心脏起搏为因传导系统紊乱导致血流动力学不稳定的心脏提供电刺激。当病情是暂时的且不需要或无法及时植入永久性起搏器时，可使用临时起搏器来治疗缓慢性心律失常，在某些情况下也可用于治疗快速性心律失常。临时心脏起搏用于急性情况以及需要立即治疗的危重症患者群体。本文讨论了临时心脏起搏治疗的各种适应证和禁忌证，回顾了临时起搏器的不同模式，并概述了使用临时起搏器治疗患者管理中的关键注意事项。
