Robles González L, Vázquez Cabrales A, Chiw Castillo G, Sánchez Ibarra J H, Pérez Redondo H
Prensa Med Mex. 1978 Nov-Dec;43(11-12):308-13.
This is a report of the use of transvenous temporal pacemaker in 18 patients, with an average age of 59.3 years, that under want non cardiac major surgery. They did not have cardiac simptoms but had conduction abnormalities in the preoperative electrocardiogram. A pacemaker was implanted as a prophylaxis against arrythmia during the transoperative and postoperative periods. There was no incidence of transoperative arrythmia. Three patients died in the immediate postoperative period, two due to duffuse carcinomatosis and one due to diabetic acidosis. The average duration of the implanted pacemaker was 12.7 days, and three patients required a permanent pacemaker. Case five is exemplificative of the benefits of the temporal pacemaker, he had a preoperative electrocardiogram showing trifascicular block, he was taken to the operating room and anesthesia was induced, the patient had a cardiac arrest but recovered without secuela; latter on a temporal pacemaker was inserted and the patient had surgery without cardiac problems.
这是一份关于18例患者使用经静脉临时起搏器的报告，患者平均年龄59.3岁，均接受非心脏大手术。他们术前无心脏症状，但术前心电图有传导异常。植入起搏器以预防手术中和术后的心律失常。术中无心律失常发生。3例患者在术后即刻死亡，2例死于弥漫性癌病，1例死于糖尿病酸中毒。植入临时起搏器的平均时长为12.7天，3例患者需要植入永久性起搏器。病例5是临时起搏器益处的典型例子，其术前心电图显示三分支阻滞，被送入手术室并诱导麻醉后，患者发生心脏骤停但未遗留后遗症而恢复；随后植入临时起搏器，患者手术过程中未出现心脏问题。
