近年来，宜宾市第五人民医院高度重视学科建设，不断开展技术创新，继成熟开展冠脉介入治疗后，又一新技术新项目落地开花。近日，我院心血管内科郭江均介入团队成功为一名病态窦房结综合征患者植入了心脏起搏器，解除了患者多年的心病，让患者重获健康。
61岁的冯先生近年来反复出现头晕、黑蒙、晕厥等不适，经多方治疗始终未能得到解决。遂到我院心血管内科就诊，经动态心电图检查、心电监护显示心率最慢时仅有30次/分钟，远远低于正常心率，经完善相关检查，冯先生最终确诊病态窦房结综合征。
病态窦房结综合征是一种严重而又危险的心律失常，随时可能因为心脏停跳而危及患者生命，单单靠药物无法根治，目前较为理想的治疗方法就是安装人工心脏起搏器。经与冯先生和家属充分沟通，家属签署手术知情同意书后，郭江均主任、肖静主治医师和胡前坤主治医师在局部麻醉下成功为冯先生植入了双腔心脏起搏器，手术历经1小时顺利结束。术后心电图示：起搏心律，起搏器正常工作状态。患者头晕、黑蒙、晕厥未再发作，目前已康复出院。
心内科主任郭江均介绍，心脏作为人类最重要的器官之一，它的每一次搏动都要为血液流动提供充足动力，把血液运行到身体的各个部分。而这个发动机需要中央指挥部（窦房结）下达搏动指令，这个指令根据身体的活动状态不断地变换节律。当我们的中央指挥部出现故障时，指令不能按时下达时，心脏由于搏动较慢，就会出现脑部供血不足，从而引发头晕、黑蒙、晕厥等症状，严重可导致死亡。此时，心脏就需要“开外挂”——安装心脏起搏器来代替中央指挥部的功能。
我院作为国家胸痛中心建设单位，始终致力于各类心脏介入新项目、新技术的开展，不断提高患者对医疗服务满意度，不断满足老百姓的就医需求。心脏起搏器植入术成熟开展，标志着我院在心血管疾病诊治技术取得了又一次重要突破，目前我院心血管内科已常规开展冠脉造影及介入治疗、心脏起搏器植入、电生理检查及射频消融治疗等心血管介入技术，为群众大病不出区提供了有力的保障。
心脏起搏器是一种植入于体内的电子治疗仪器，通过脉冲发生器发放电脉冲，再通过导线电极的传导，刺激电极所接触的心肌，使心脏激动和收缩，从而达到治疗心脏功能障碍的目的。
哪些患者适合安装起搏器?（具体情况需经专科医师检查后确定）
1. 与心动过缓相关的疾病：如病态窦房结综合征、三度房室传导阻滞、高度传到阻滞等疾病;
2. 心脏病晚期、严重心衰及心律失常患者，为提高生存率，可植入带除颤功能的起搏器;
3. 心脏太大、心脏左右心室收缩不一致的患者。
撰稿：胡前坤
编辑：曹 芳
核稿：郭江均
审稿：徐风万
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