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心源性脑缺血综合症是内科最危险的常见急危重症,随时威胁病人的生命。药物治疗往往不能迅速有效地消除心脏骤停,而起搏治疗却可以立即终止其发作,为病因治疗提供机会。有些病人,由于心脏传导系统发生不可逆的损害,出现了永久性Ⅲ度房室阻滞、双侧束支阻滞或三支阻滞,用药物治疗已难收效,而永久性起搏治疗是最有效可靠的方法。过去我们曾为部分病人进行了临时心内膜或永久性心外膜电极起搏治疗,取得了一定效果。近来我们又遇到三例频发心脏骤停的病例,安植永久性心内膜电极起搏治疗,效果很好,特报告如下: 病例Ⅰ:男,58岁,工人。1961年,在走路中突然晕倒一次,迅速恢复。以后照常工作,但偶有短阵
Cardio-cerebral ischemic syndrome is the most dangerous acute and critical medical condition, threatening patient’s life at any time. Medication often does not eliminate cardiac arrest quickly and effectively, whereas pacing therapy immediately halts its episode and provides an opportunity for treatment of the cause. In some patients, permanent third-degree atrioventricular block, bilateral bundle branch block, or three blocks appear due to irreversible damage to the cardiac conduction system, which is refractory to drug treatment and permanent pacing is the most frequent Effective and reliable method. In the past we had some temporary cardiac endocardial or epicardial electrode pacing therapy, and achieved some results. Recently we have encountered three cases of frequent cardiac arrest, placement of permanent endocardial electrode pacing therapy, the effect is very good, especially reported as follows: Case I: male, 58 years old, workers. In 1961, suddenly fainted in walking, rapid recovery. As usual work, but occasionally short array