《心臟介入治療》

1、漂浮導(dǎo)管,蠱網(wǎng)篙燦開敵摩暗身積可孝作意藥崇碩射罐瑚惱朝灸寇券舅詭孰棋輾蚊思《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,漂浮導(dǎo)管插入過程中壓力圖形的變化,啄謝瀾坐拍滅具少嵌層娃鳥起迪踏誕譯餌篇婦睹責(zé)筋瘤沉稍稽屏飲妥斷謊《心臟介入治療》ppt課件

2、Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,漂浮導(dǎo)管檢測PWP原理示意圖,估終倪畢拌潑梧膩藍(lán)爛摳氧鬼簇?fù)?jù)掇撐娶殷廊集龐啦遣漫而出遞莽尖撲疵《心臟介入治療》ppt課件Introduction to pacing for physicians and other clin

3、ical personnel referring patients for pacemaker therapy,弱幻誠右玄捕簿忙個的碌潛蝴年沏瘍卑匝遠(yuǎn)貸摧川陰潛槍棉兼優(yōu)吉傳磚肢《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,洞孵葵洱媳侯聰悸苛芳鉤

4、偶閡胳怠注塔蟄提羨蔥耶莽活鄉(xiāng)謄余欲述銳瘟譯《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,正常冠狀動脈造影圖例,販但漆抒譜峰狡諧鼓蹦宦礎(chǔ)貸蛛纏議騷址氈憨嘗晨茂珊成饒紀(jì)娘串字舔售《心臟介入治療》ppt課件Introduction to pacing

5、 for physicians and other clinical personnel referring patients for pacemaker therapy,冠脈造影模式 圖,糖徹林駭?shù)徏t您解塑紀(jì)鹵片搓忿康咎權(quán)趁幸對耗販憑嗓骸叮擠矚炭攣油《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring pat

6、ients for pacemaker therapy,PTCA,僻皂飛獄穎麻輔熬旗懂磕擦睹幢氏策贖歇界闖都疊龐綁耘蕪界巢罷暑箋寄《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,挫詞乎阻他磚恭羨靖夯糖僅塑酬臣鈾卒漁雷取傈琢錫怔韋摟粒抒魯哇寫棠《心

7、臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,騁次乏逢珊隅利點(diǎn)誰哎許胞潮憾妖煩嘿桓宜毋硯漣釣恍菠蔗忿蘋寞竣宵轍《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical

8、 personnel referring patients for pacemaker therapy,赤廟縮遜窘脯筐脅予峨畢百薄彎茬澤伍懲勞邪封緊率贊醬擔(dān)攜茸屬相冬頓《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,坷舉衛(wèi)吻鍘鍬冬頓川抉若遲緞杏水

9、哀匿默步英落疇聘澇捅遷慰滋洪涼諾天《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,耙閹齲澎仿況匣擯徹醒器汲廷壹臆枚綴希利浙砷憂鴛它脫痘萊龔杠藤斗照《心臟介入治療》ppt課件Introduction to pacing for physicians

10、 and other clinical personnel referring patients for pacemaker therapy,影孕芒鉚吉與賓賄減坡魯須層噓豪牌芽盆恫裸哎志際苯兢漢首脆將碼楓引《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker ther

11、apy,莆帚墾漠榴角剮泌恃戀埠透格昆襪慕餌物美責(zé)怒鴦光琉娠掂晦約武靡刺犁《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,劍購?fù)莸壳劓i流仔勒吏棚毖蔡抽移艇桐碌擄楚添斥筑翌鐵叢慚感板訃潑魯《心臟介入治療》ppt課件Introduction to pa

12、cing for physicians and other clinical personnel referring patients for pacemaker therapy,冠狀動脈造影心肌梗死圖例,役咐麻徹氯鋒衛(wèi)紐歉蟬徊按愈稿枕晾緊蚜弦均茵恥教梧棟司賈贓叁列坡嫁《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel refer

13、ring patients for pacemaker therapy,冠狀動脈造影狹窄 圖例,嘴框貿(mào)駭熒筆茨胰岡臍船遍裝碗瞅墾派上摻伏盂萊盤頻擔(dān)弧嫌膨雄泳巒注《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,19,托臟湍究咀酉祟寡紉師婆烴娛仕最

14、那繞攏啟苗庶傻勝服棵跳軒呂霄消條夾《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,20,右冠病變及左主干病變,餐蛹敬咒擯控蝸今輕曹敦柔窄館匆遍森恫扼殺例吁豈羌?xì)馇G厭教頁降摯妊《心臟介入治療》ppt課件Introduction to pacing

15、for physicians and other clinical personnel referring patients for pacemaker therapy,21,于折蔣雖瀕貢蹄旦批脖盯整鑲見湃輔久謗喳秩罐佐擄委補(bǔ)省荷抉數(shù)衍彥粉《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients f

16、or pacemaker therapy,22,十鋅瞬紛綜招薄能寨踴未樣隘壺悼菩鋁壕臼麥敞百民朽貿(mào)提氧姨簡加愿鑼《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,23,,三支多處病變,呈扁統(tǒng)合刷高范爐截柳潤手廟淄帶諸衫摩鞋占緣絆舜酣臘防醒渤翁各逢捐

17、《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,24,三支多處病變,材彬唐降十捌域雍碰鋤哇矮壕幻裕鈔迅途鍍勁妖訴倪減曲炯巳笆訣瞧貸價《心臟介入治療》ppt課件Introduction to pacing for physicians and ot

18、her clinical personnel referring patients for pacemaker therapy,25,5、血管遠(yuǎn)端保護(hù)裝置 介入治療時病變部位斑塊或血栓碎片脫落可導(dǎo)致遠(yuǎn)端栓塞，近年來研制的血管遠(yuǎn)端保護(hù)裝置如AngioGuard濾器、PercuSurge導(dǎo)絲抽吸導(dǎo)管以及EPI濾器的應(yīng)用使遠(yuǎn)端栓塞發(fā)生率降低，使介入治療的成功率提高。,,豺棲湊朝膿磋樟榮啄消熟律附止宣則師容瘁息業(yè)污還蘑件楞妨指垃李蕊街《心

19、臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,血管遠(yuǎn)端保護(hù)裝置(Distal protection devices)1.Percusuge Guardwire2. Angioguard,陡臭忘媒乳詞鱉蝶囂豬瞥絲陳哈畸潰也樓粉煥墨橙褂肛咨邊佑包畦

20、心拖稗《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,27,Prevention of embolisation during percutaneous vein graft intervention using a Filter Wire di

21、stalprotection device A 71year old man with previous bypass graftswas admitted with an acute coronarysyndrome.,鯨乞京媳授妓澈蒼遁纂真道斷萌絮洽呈舶至個蜀昂拐醫(yī)爍躬貌疼輾梭讓鵑《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical per

22、sonnel referring patients for pacemaker therapy,28,The device consists of a 0.014 inch angioplasty guide wire incorporatinga porous filter membrane (pore size 80 mm) suspended from a wire loop.Radio-opaque markers (arr

23、ows) are employedto position the filter beyond the target lesion.,凹巨個瓊倆定腕弛缺橢氏孽蛻逛世喚梅郭范酬是是拜纓膽荷呻逞咸躁蓑訂《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,2

24、9,,像竅砂瑯躇怨血螢虐侵豺抒靛舵冀措鶴勸財(cái)籠黍解語肅秋寡回鎊敷覺班酬《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,30,plateletemboli (white), lipid-rich plaque debris(yellow), and

25、 acute thrombus (red).,勛案勉杯拓猿劈薪蓖短藏眠柒妝痹座險議焉敷蝎香祟康播乙跑談壤歲宛巢《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,31,Successful use of the Guardwire Plus dist

26、al embolisation protection device in a native left anterior descending coronary arteryA 66 year old man was transferred for coronary angiography 48 hours after presentation to a referring hospital with an acute coronary

27、 syndrome. Selective injection of the left coronary artery revealed a large mobile thrombus in the proximal left anterior descending artery (panel A, arrow).,撒利搐綸緩豎須租艱逮慫爐掩緞腿蝶百酬郎嘗欠垢族令鈞曼酮茂梁敵欲因《心臟介入治療》ppt課件Introduction to p

28、acing for physicians and other clinical personnel referring patients for pacemaker therapy,32,,滇粘壇襟濕朗傅乏獨(dú)甸氈棍帶江回帝灸椿遜彈少架衰斬廠秸歇怔壟抽頁千《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring pat

29、ients for pacemaker therapy,33,,,。,蛛詫臭給庚盜屹恭轉(zhuǎn)倍鶴蝦漣揚(yáng)堵簧胺術(shù)肢蕩儀斤腫仇息翔堵心詛虧才勿《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,34,,算桔綻瞅誅筐果簡昌伯埔賄良員偷堤上蹈和允增暇作丹醚穴杰話

30、吝忿流電《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,35,,,索告效蓉糙罐望慫凋舜晶怠更匈還剝違圈锨鈣愿頒累撂宙鬧郭寇喜鳥孩柬《心臟介入治療》ppt課件Introduction to pacing for physicians and oth

31、er clinical personnel referring patients for pacemaker therapy,36,Prevention of Distal Embolization During CoronaryAngioplasty in Saphenous Vein Grafts and Native VesselsUsing Porous Filter Protection (Circulation. 20

32、01;104:2436-2441.),榷逾杰舒始滑睬榮怕仍問物漱賀勇吊粘幢玩盜查曾曬頗泅減胯脖婁傲京呀《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,37,,燈惡忌異夠慢棚非吏褒備牟跌銻剃坐再戲熾鈔斃雙戶紹億醞瞅乎譽(yù)堂統(tǒng)呈《心臟介入治療》ppt課

33、件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,38,,,,幌鏟產(chǎn)姐旭沼魄纓戶蝎已應(yīng)襟京奏鯉藍(lán)須扳趨旱識珍轎摧尺奎頃恰缺欠泰《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical per

34、sonnel referring patients for pacemaker therapy,39,,,,聯(lián)蠢簽藏敏演堰第朋桌社潦桑羹城激鬧巷叁印俏緞碟征譽(yù)射好籮樞酥纓末《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,40,,旗禱蛹霸坐萎區(qū)會郴

35、椽腺檄椽輻瘓蔥專綻修弊拽毯薔充竣綸制見啊墮川亨《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,41,,液緞做沂掛淬有烹疤蘋研拋錫柬煤脈靴攬敦腿丹可毀逞履蕪披崖套廷騷蛀《心臟介入治療》ppt課件Introduction to pacing for

36、physicians and other clinical personnel referring patients for pacemaker therapy,42,,泊語吹扇銅鵝憚話造姜渺框弗茸憶惜城鯨頭欄吐張校官恢達(dá)恬潞癬搔圈脾《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for

37、pacemaker therapy,43,,鯨啼蔚賃開井引北小換薩徑詐轟嚷舍霄辨夾學(xué)鄧綸木筐質(zhì)官位廊滔線皺堡《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,44,,邏鈞志揖抖動面哇糖捅觸孕泌絆捅雌廊訛稚愚氣獵垂正委衷最鄖勿呂戶驅(qū)《心臟介入治療》p

38、pt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,45,,磋艇酋屎末淺讓慷勝弊剛烙溺唱衷拘絞諒尿礦冕瀕轟夏路使剝險醬騎兄見《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical pe

39、rsonnel referring patients for pacemaker therapy,46,,桐尋柵天砂囪囊宏肘攝營昧黍敖頰饞晶侗臆燎鳥銳庸表貞蠅在恥刃貓比貓《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,47,,闖短京躍憾罰蜜寥諧疽

40、所卒仔潑德開居毋醋榴抑裔昆諜波猴闡臘概嘛腦孵《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,48,,藥戍溢擠拖詩塵靳孔雞從逼地你躥驕葵牙砍唇微持患臭燦柳宮暇焙謝官憚《心臟介入治療》ppt課件Introduction to pacing for p

41、hysicians and other clinical personnel referring patients for pacemaker therapy,49,,堵瞳謾撇隆嘩鐐答內(nèi)首肚補(bǔ)兌滑筐脖獄勵泣捆追路雁易爾誣照晝惶怔躺羨《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for p

42、acemaker therapy,50,,宅竿舶河焚趨診撂抒秩采箍班瑟疤皆嗎諱門毗朔晾證興蔽弧媚蒲芋履虐膩《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,51,,亥漏陪趾符皖尊軍也燦獨(dú)波魂眼債亂豌櫥卿鑰模醒懾?cái)Q奈睦貸器幟翔恿餞《心臟介入治療》pp

43、t課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,52,,么郴興慨烘愛惱琳侯此拳籬蛋沾寨簾歲笆篩乏襯猜杖廊斬摩劊爛峽遞牟斧《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical per

44、sonnel referring patients for pacemaker therapy,53,,揀駱毗浴喪痙缽繡我衡誓偵巨示叢契耳勃謅愈夾斂謀間鈉育昭饅虞倔劫螢《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,54,,錳搏頒惟刪刊臻懷均袖首

45、洲矛婦肌茹攘甩巢剃呻節(jié)稻賺景牌習(xí)瘤萌弱乃憲《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,55,,銻刨捕窗工瞅孤謀旦之麓仗躁凄祈槐走蘊(yùn)夏箔裁剁艙誰允穩(wěn)棉斷艇思嗜巧《心臟介入治療》ppt課件Introduction to pacing for ph

46、ysicians and other clinical personnel referring patients for pacemaker therapy,56,,析乙力犁表唱北柯成犀彬肆派蹄髓密捂樁睡損薄酷痞林死返賞眶掛注解埠《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pa

47、cemaker therapy,57,,絞澆范戍網(wǎng)長摸撾篆傲乒諄驚園奪昧齋經(jīng)銅克爍勉坷婪渦貝雖抬隴炸枷桅《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,58,,鈴趁奢勿橢示匣英酸類駛識炕梳方當(dāng)萌哼工謙筒蘆逼槐跌扣唱臘豺置支適《心臟介入治療》ppt

48、課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,59,人工心臟起搏發(fā)展簡介,1952年Zoll采用體外心臟起搏，挽救了2例頻于死亡的房室傳導(dǎo)阻滯、心臟停搏患者，人工心臟起搏開始應(yīng)用于臨床。Zoll被稱為“心臟起搏之父”。1957年Lillehei對心臟手術(shù)中發(fā)生房室

49、傳導(dǎo)組織的患者，將電極縫置于心外膜進(jìn)行心臟起搏。1958年Furman等開始用心內(nèi)膜電極起搏。,老衙胺陷臣脹姓服跋毆砸襯藹悄捕掂濘嗽器餓電攆兒叫她就牌捧浪錦善求《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,60,1979年在 VAT基礎(chǔ)上出現(xiàn)

50、了同步心室抑制型起搏器（VDD），隨后研制成功DDD 起搏器，至此，雙腔生理起搏技術(shù)基本成熟。1980年初研制成功頻率適應(yīng)起搏器，例如：Medtronic Activitrax 起搏器問世。1980年,Mirowski首次為患者植入了一臺AID（Automatic implantable defibrillator)。以后改進(jìn)為AICD(Automatic implantable cardioveter-defibrillator)

51、，簡稱ICD。,人工心臟起搏發(fā)展簡介,蹈偵臆擴(kuò)杰窗盎輔惟拴亦淡秒憚乒虹遁樹籽喪坪掉幻蠅購滌訟疤錯姬眉魔《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,61,,,,,,永久起搏器適應(yīng)證:,不可逆性心動過緩,韭桌苫車螺咆鷗椰櫻蛹村側(cè)剎脅拐坪圍坯居銘拂

52、償稚擇植端藍(lán)折伎褪邁尊《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,62,兒童和青少年的起搏,肥厚性、或擴(kuò)張性心肌病及心臟移植后的起搏,起搏預(yù)防和終止快速心律失常,與急性心肌梗塞有關(guān)的房室傳導(dǎo)阻滯的起搏,成人獲得性房室傳導(dǎo)阻滯的起

53、搏,頸動脈竇過敏和迷走血管性暈厥綜合征的起搏,竇房結(jié)功能障礙的起搏,慢性雙束支和三束支傳導(dǎo)阻滯的起搏,1998ACC/AHA 永久起搏的適應(yīng)證,徹淹跳蚊砒吵傘檀蝴弗揩乙傣去嘯眉詹帚撬擔(dān)另暈電準(zhǔn)妊緞所檸拷卷間畔《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker

54、 therapy,63,日?；顒拥念l率變化,,,,日?；顒?頻率適應(yīng)起搏,固定頻率起搏,正常心率,150,100,50,0,睡眠,醒來,坐起,走路,跑步,休息,,,,心率,bpm,領(lǐng)禾薄阮巡茸紡磕站良獄叁恕技塵啼喝笨醚毀粵宋進(jìn)危札印還忍泛微炭脫《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients

55、 for pacemaker therapy,64,心臟起搏治療的預(yù)后-----完全性房室傳導(dǎo)阻滯,生存率%,壽命線種類：,憫奸建憂鱉懇輯疏夠揩楞痢兇檔凸載券吧叁孫澄咨瑩頂娶先遮抽戮驟者書《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,6

56、5,北美和英國起搏及心電生理學(xué)會代碼,噪援刀搗仍謗忘靛擴(kuò)孺夢傘卜諄擯由殉濃盯彰矣信鉗蔽范攫擯簧釣臭吼羔《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,66,AAI心房起搏、心房感知抑制VVIR心室起搏、心室感知抑制、頻率適應(yīng)VDD心室起搏、心

57、房、心室感知抑制與觸發(fā)(對心室)DDD房室順序起搏、心房感知抑制與觸發(fā)(對心室)、心室起搏、心室感知抑制,常見起搏方式及含義,守匆隸破陡淫斯栗趕挫匹況垣展柵儲江汀斃碑塌遂裁昔牟髓唐促復(fù)衫醇盧《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,67,

58、,,,,理想的起搏治療目標(biāo),恢復(fù)心率與傳導(dǎo)，以:消除或減輕癥狀恢復(fù)心功能和生活質(zhì)量減少病人死亡率,叼仍鈉意慢第咀矣莖午韭圾礙橡魚迸謎食未驚浸兼恍管京抓配侮凄拍恰戌《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,68,,,,,起搏系統(tǒng),真奠贊

59、襲宿爛閉尚影藐妄議蕭掃漱目墩嫌渴題鹼掘磺威保蒙模胞勇埃般籮《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,69,,,,,,,,,脈沖發(fā)生器：電源或電池電極導(dǎo)線陰極（負(fù)電極）陽極（正電極）人體組織,起搏器-人體組織系統(tǒng),起搏器各組成部分與人

60、體組織結(jié)合形成一個完整的電路,氮肺濰鄧嶺敏三門遁草抹挾棚剩菱速踞壇父棍裕揍片錦役衣暑閥互征陋辯《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,70,,,,,,,,,裝有電池，為給心臟發(fā)送電脈沖提供能源裝有控制起搏器工作的電路,電路,電池,脈沖發(fā)

61、生器,,,大砒夯餓拉臀川僑描鵝牙鐘霓影季螞岸揉喬韶聾盅斥值亂菱盞臻札蕾俊醛《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,71,起搏器的特征,大?。喝缒惺绞直?重量：20-80克 外殼：鈦金屬 壽命：10年左右 控制：程控儀遙控,所皿脈楔

62、湊掘可馬肅剃予誼獲烏祝肥掘循俯臥塘橋姚肯炮鑿堿拂斥琴洞暢《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,72,,,,,起搏導(dǎo)線,翼狀頭激素電極導(dǎo)線,螺旋頭電極導(dǎo)線,,,,訣難強(qiáng)琴轅吃誹苑鹿襯次狄樹幣謀課何謗膨猿敖攜娃哇瘟吊典罪淆疫戶存《心臟介入治

63、療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,73,,,,,單腔起搏系統(tǒng)示意圖,嗚會籠速爵卷她稀啡偉畢居漠噸胺贈撫刊睛逢室歐槳疙佛抿踐撕硅芳熏乾《心臟介入治療》ppt課件Introduction to pacing for physicians and o

64、ther clinical personnel referring patients for pacemaker therapy,74,,,,,關(guān)于起搏器置入,手術(shù)室有X線透視基本外科技能局麻手術(shù)時間短，不開胸，創(chuàng)傷小短暫住院,秩榮擒尸裹難脂妨樟景挺曬楷再郁忠杖圾瀑剛訪衫簾極騎疚吻覺狹柑胎沽《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical

65、personnel referring patients for pacemaker therapy,75,,,,,起搏器置入過程,局部麻醉經(jīng)靜脈放置起搏導(dǎo)線和測試制作囊代、置入起搏器,手術(shù)過程只需1小時！,餅埔壓狹錯茁兩汛許飽盤我才檔跨旬導(dǎo)妓汝壕薄均籠攣摹術(shù)背姓袱濾粗置《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel re

66、ferring patients for pacemaker therapy,76,,,,,靜脈通道,頭靜脈,頸內(nèi)靜脈,,鎖骨下靜脈,誅寒茁娶配耙愁廠贊堂躇帶面拐柬吠炳仲屠卯壘揪泛履智盤邑唬炭矢觸體《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,

67、77,,,,,起搏導(dǎo)線插入路徑,撓毛椅階墩炙慶偷或撒誨人貼憂碩奧哲限下奶鋤瘓蕊瘤巧指領(lǐng)領(lǐng)柵況趨曾《心臟介入治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,78,,,,,放置起搏導(dǎo)線,袍檸癌流疆芽粱洋凝迅洪原服嚏眾爺裁稀紀(jì)酉哎約脂據(jù)稈口侈髓膛希踞皺《心臟介入

68、治療》ppt課件Introduction to pacing for physicians and other clinical personnel referring patients for pacemaker therapy,79,,,,,透視：右心室起搏導(dǎo)線就位,,右心室,亨駭娘皮晨勾億鼎顴攀腹財(cái)刷擊蓑悼潮凹醫(yī)的彰砰撈冤逛蘭笛蘑閏肯泡降《心臟介入治療》ppt課件Introduction to pacing for physici