{"id":56923,"date":"2025-09-08T05:10:51","date_gmt":"2025-09-08T05:10:51","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=56923"},"modified":"2025-09-08T05:10:51","modified_gmt":"2025-09-08T05:10:51","slug":"hands-on-bachmann%e6%9d%9f%e8%b5%b7%e6%90%8f","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=56923","title":{"rendered":"Hands-on | Bachmann\u675f\u8d77\u640f"},"content":{"rendered":"

\u201cBachmann\u675f\u662f\u5fc3\u623f\u95f4\u7535\u6fc0\u6d3b\u7684\u4f18\u5148\u8def\u5f84\u3002\u4f5c\u4e3a\u4f20\u5bfc\u7cfb\u7edf\u7684\u4e00\u5458\uff0cBachmann\u675f\u4f4d\u7f6e\u7684\u5fc3\u623f\u8d77\u640f\u662f\u5426\u66f4\u751f\u7406\uff1b\u800c\u4e0d\u540c\u4e8e\u5de6\u675f\u652f\u5b9a\u4f4d\u7cbe\u51c6\uff0cBachmann\u675f\u7684\u5230\u4f4d\u53c8\u8be5\u5982\u4f55\u5224\u5b9a\uff1f\u672c\u671f\u662fDaniel L. Lustgarten\u6559\u63882024\u5e749\u6708\u5728Heart Rhythm\u4e0a\u53d1\u8868\u7684Hands-on\u64cd\u4f5c\u7ecf\u9a8c\u300aBachmann\u675f\u8d77\u640f\u300b\u7684\u7cbe\u70bc\u6458\u8bd1\uff0c\u6587\u4e2dLustgarten\u6559\u6388\u57fa\u4e8e\u56e2\u961f\u7684\u7ecf\u9a8c\u5206\u4eab\u4e86Bachmann\u8d77\u640f\u64cd\u4f5c\u65b9\u6cd5\uff0c\u6b64\u5916\u9644\u52a0\u4e86\u90e8\u5206Bachmann\u675f\u7684\u80cc\u666f\u4ecb\u7ecd\uff0c\u4f9b\u5927\u5bb6\u53c2\u8003\u3002\u201d<\/p>\n

\n

1. \u5fc3\u623f\u751f\u7406\u6027\u8d77\u640f\u4f4d\u70b9\uff1aBachmann\u675f\u533a\u57df<\/p>\n

\u56fe1 Bachmann\u675f\u5fc3\u5916\u819c\u5927\u4f53\u89c2<\/p>\n

Bachmann\u675f\uff08\u4e5f\u79f0\u4e3a\u5fc3\u623f\u95f4\u675f\uff0c\u56fe1\uff09\uff0c\u662f\u4e00\u675f\u5bbd\u9614\u7684\u5fc3\u808c\u5e26\uff0c\u4ece\u53f3\u5fc3\u623f\u7a7f\u8fc7\uff0c\u4f4d\u4e8e\u4e0a\u8154\u9759\u8109\u548c\u5347\u4e3b\u52a8\u8109\u4e4b\u95f4\u3002\u5728\u6b63\u5e38\u7aa6\u6027\u5fc3\u5f8b\u671f\u95f4\uff0cBachmann \u675f\u662f\u5de6\u5fc3\u623f\u7535\u6fc0\u6d3b\u7684\u4f18\u5148\u8def\u5f84\u3002\u56e0\u6b64\uff0c\u5b83\u88ab\u8ba4\u4e3a\u662f\u5fc3\u810f\u201c\u5fc3\u623f\u4f20\u5bfc\u7cfb\u7edf\u201d\u7684\u4e00\u90e8\u5206\u3002<\/p>\n

\u56fe2 Bachmann, Jean George<\/p>\n

1916 \u5e74\uff0c\u8ba9\u00b7\u4e54\u6cbb\u00b7\u5df4\u8d6b\u66fc \uff08Jean George Bachmann\uff09 \u8fdb\u884c\u4e86\u72ac\u7c7b\u5b9e\u9a8c\uff0c\u4ed6\u53d1\u73b0\u5939\u4f4f\u8fde\u63a5\u5fc3\u623f\u7684\u808c\u8089\u7ea4\u7ef4\u675f\u4f1a\u5bfc\u81f4\u663e\u8457\u7684\u4f20\u5bfc\u5ef6\u8fdf\uff0c\u56e0\u6b64\u4ee5Bachmann\u547d\u540d\u3002<\/p>\n

\u65e9\u57282003\u5e74\uff0cBailin\u7b49\u4eba\u9996\u6b21\u5c1d\u8bd5\u5b9a\u4e49\u4e86\u901a\u8fc7\u900f\u89c6\u5f15\u5bfc\u5224\u65ad\u7684Bachmann\u675f\u8d77\u640f\uff0c\u53d1\u73b0\u4e0e\u53f3\u5fc3\u8033\uff08RAA\uff09\u8d77\u640f\u76f8\u6bd4\uff0cBachmann \u675f\u8d77\u640f\u7684P \u6ce2\u66f4\u7a84\uff0c\u4e14AF\u8fdb\u5c55\u7684\u76f8\u5bf9\u98ce\u9669\u964d\u4f4e\u8fd1 40%\u3002<\/p>\n

\u4f46Lustgarten\u56e2\u961f\u57fa\u4e8e\u540c\u6837\u900f\u89c6\u6307\u5bfc\u7684Bachmann\u8d77\u640f\uff0c\u56de\u987e\u6027\u5206\u6790\u53d1\u73b0\uff0c\u5982\u679c\u5e94\u7528\u201c\u66f4\u4e25\u683c\u7684Bachmann\u675f\u8d77\u640f\u201d\u5b9a\u4e49\uff0c\u53ea\u6709\u5927\u7ea6\u4e00\u534a\u7684\u75c5\u4f8b\u5728\u201c\u771f\u6b63\u7684Bachmann\u675f\u533a\u57df\u201d\u3002\u5e76\u4e14\uff0c\u7b26\u5408\u66f4\u4e25\u683c\u7684Bachmann\u675f\u8d77\u640f\u6807\u51c6\u7684\u60a3\u8005P\u6ce2\u660e\u663e\u66f4\u7a84\uff0c\u4e14\u6bd4RAA\u5bf9\u7167\u7ec4AF\u53d1\u751f\u7387\u66f4\u4f4e\u3002\u56e0\u6b64\u5f15\u53d1\u4e86Lustgarten\u5bf9Bachmann\u675f\u8d77\u640f\u5b9a\u4e49\u7684\u8fdb\u4e00\u6b65\u601d\u8003\u3002<\/p>\n

\n

2. \u57fa\u4e8e\u7535\u5b66\u7684\u4e25\u683cBachmann\u675f\u8d77\u640f\u5b9a\u4e49<\/p>\n

1\uff09Bachmann\u675f\u7535\u4f4d<\/p>\n

Lustgarten\u56e2\u961f\u5f3a\u8c03\u8bc6\u522bBachmann\u7535\u4f4d\u7684\u91cd\u8981\u6027\u3002<\/p>\n

\u867d\u7136\u5fc3\u623f\u7f3a\u4e4f\u7c7b\u4f3c His-Purkinje \u7684\u4f20\u5bfc\u7cfb\u7edf\uff0c\u4f46\u5728\u4e0a\u8154\u9759\u8109\uff08SVC\uff09\u4e0b\u6bb5\u4e0e\u53f3\u5fc3\u623f\u9876\u7684\u95f4\u9694\u9762\u4ea4\u754c\u5904\u5e38\u53ef\u4ee5\u6807\u6d4b\u5230Bachmann\u7535\u4f4d\uff08\u56fe3\uff09\u3002<\/p>\n

\u6b64\u5916\uff0c\u7531\u4e8eSVC\u4e0b\u6bb5\u8f83\u539a\uff0c\u8be5\u90e8\u4f4d\u7684\u8d77\u640f\u662f\u5b89\u5168\u7684\uff1b\u800c\u8be5\u90e8\u4f4d\u8d77\u640f\u611f\u77e5\u548c\u8d77\u640f\u53c2\u6570\u826f\u597d\uff0c\u4e14P\u6ce2\u66f4\u7a84\uff0c\u5176\u4ed6\u65b9\u9762\u4e0e\u5178\u578b\u7684\u7aa6\u6027 P \u6ce2\u76f8\u540c\u3002\u6240\u4ee5\u662f\u4e00\u4e2a\u5fc3\u623f\u8d77\u640f\u7684\u7406\u60f3\u4f4d\u7f6e\u3002<\/p>\n<\/p>\n

\u56fe 3. Bachmann \u675f\u7535\u4f4d\u3002A\uff1a\u5341\u6781\u6807\u6d4b\u5bfc\u7ba1\u8bb0\u5f55\u548c\u8089\u773c\u89e3\u5256\u89c2\u5bdf\uff0c\u53ef\u4ee5\u4ece\u5fc3\u5916\u819c\u89c2\u5bdf\u5230\u7535\u4f4d\u4f4d\u4e8eBachmann\u675f\uff08Lu et al.) \uff1bB\uff1a\u53f3\u623fLAO+CAU\u7684\u4e09\u7ef4\u6807\u6d4b\u3002\u56db\u6781\u6807\u6d4b\u5bfc\u7ba1\u4f4d\u4e8e SVC\u4e0b\u6bb5-\u53f3\u623f\u4ea4\u754c\u5904\uff0c\u53f3\u623f\u4f4d\u4e8e 5 \u70b9\u949f\u4f4d\u7f6e\u3002\u5bfc\u7ba1\u5934\u7aef\u5728P\u6ce2\u5185\u8bb0\u5f55\u5230\u4f4e\u5e45\u9ad8\u9891\u7684Bachmann \u675f\u7535\u4f4d\uff0c\u7c7b\u4f3c\u4e8e\u5fc3\u5916\u819c\u89c2\u5bdf\u5230\u7684\u60c5\u51b5\u3002Masson\u67d3\u8272\u663e\u793aBachmann \u675f\u7684\u53f3\u4fa7\u5ef6\u4f38\u5728 5 \u70b9\u949f\u65b9\u5411\u5de6\u53f3\u63d2\u5165SVC\u5e95\u90e8\u30022) Bachmann\u7535\u4f4d\u8154\u5185\u56fe\u5206\u6790Bachmann\u7535\u4f4d\u662f\u5728\u4f53\u8868P\u6ce2\u5f00\u59cb\u9644\u8fd1\uff0c20-80 ms\u540e\u51fa\u73b0\u590d\u6742\u7684\u9ad8\u9891\u3001\u4f4e\u5e45\u8fdc\u573a\u4fe1\u53f7\uff08\u56fe 4\uff09\u3002\u5982\u679c\u6ca1\u6709\u7535\u4f4d\uff0c\u5219Tip\u53ef\u80fd\u5728 SVC \u9ad8\u4f4d\u9644\u8fd1\u6216\u662f\u5728Bachmann \u675f\u76f8\u90bb\u7684\u7ea4\u7ef4\u533a\u57df\u3002\u53ef\u4ee5\u5fae\u8c03\u6765\u5bfb\u627e\u7535\u4f4d\u3002\u9006\u65f6\u9488\u65cb\u8f6c\u8fc7\u591a\u4f1a\u5c06Tip\u7f6e\u4e8e\u754c\u5d74\u672b\u7aef\uff0c\u901a\u5e38\u4f1a\u51fa\u73b0\u53cc\u7535\u4f4d\uff08\u88ab\u8bef\u8ba4\u4e3a\u662f Bachmann \u675f\u7535\u4f4d\uff09\u3002\u754c\u5d74\u7535\u4f4d\u7684\u7279\u5f81\u662f\u6700\u65e9\u7684\u4fe1\u53f7\u901a\u5e38\u65e9\u4e8e P\u6ce2\u8d77\u59cb20-30 ms\uff0c\u4e14\u5728\u8be5\u90e8\u4f4d\u8d77\u640f\u51fa\u73b0\u8f74\u5411\u6b63\u5e38\u7684 P \u6ce2\uff0c\u4f46\u5bbd\u5ea6\u7b49\u4e8e\u6216\u957f\u4e8e\u7aa6\u6027 P \u6ce2\u3002\u76f8\u6bd4\u4e4b\u4e0b\uff0cBachmann \u675f\u8d77\u640f\u5c06\u4ea7\u751f\u8f74\u5411\u6b63\u5e38\u4f46\u5bbd\u5ea6\u77ed\u4e8e\u7aa6P\uff08\u56fe4\uff09\u3002\u56fe 4 Bachmann\u7535\u4f4d\u8154\u5185\u56fe\u3002\u5de61\uff08 25 mm\/s\uff09\u5de62\uff08200 mm\/s\uff09\u5355\u6781\u8154\u5185\u56fe\u3002\u4f4e\u5e45\u9ad8\u9891 Bachmann \u675f\u7535\u4f4d\u5728P\u6ce2\u65f6\u9650\u5185\u3002\u5bfc\u8054\u4f4d\u4e8eLAO+CAU\u89c6\u56fe\u7684 5 \u70b9\u949f\u5de6\u53f3\u3002\u53f3\u56fe\u663e\u793a\u4e86\u8be5\u4f4d\u7f6e\u7684\u8d77\u640f\u7ed3\u679c\uff1aP\u6ce2\u53d8\u7a84\u3001\u8f74\u5411\u6b63\u5e38\u30023) Bachmann\u675f\u8d77\u640f\u64cd\u4f5c\u5b9a\u4f4d\uff1aSVC-RA\u4ea4\u63a5\u5904<\/p>\n

\u5de5\u5177\uff1aC315\/C304+3830-59<\/p>\n

\u64cd\u4f5c\u6b65\u9aa4\uff1a<\/p>\n

A\uff0e\u5bfc\u7ba1\u7535\u6781\u5230\u4f4d\uff1a\u8fdb\u53f3\u623f-\u9006\u65f6\u9488\u65cb\u8c03\u6574\u65b9\u5411-\u8fdb\u7535\u6781\u9000\u9798-\u7535\u6781\u5230\u4f4d<\/p>\n

B\uff0e\u8bb0\u5f55Bachmann\u7535\u4f4d<\/p>\n

C. \uff08\u53ef\u8c03\u5f2f\u9798\uff09\u64a4\u9798\uff1a\uff08\u7535\u6781\u56fa\u5b9a\u540e\uff09\u9001\u7535\u6781\u540c\u65f6\u677e\u5f2f\u64a4\u9798\u81f3\u4e0a\u8154<\/p>\n

D. \uff08\u56fa\u5b9a\u5f2f\u9798\uff09\u64a4\u56fa\u5b9a\u5f2f\u9798\uff1a\u524d\u9001\u7535\u6781\u548c\u5bfc\u7ba1-\u7535\u6781\u5728\u53f3\u623f\u6210\u73af-\u64a4\u9798<\/p>\n

E\uff0e\u7535\u6781\u89e3\u65cb\uff1a\u64a4\u9798\u540e\u9006\u65f6\u9488\u5fae\u8c03\u89e3\u65cb<\/p>\n

1. \u5bfc\u7ba1\u7535\u6781\u5230\u4f4d<\/p>\n

2. \u53ef\u8c03\u5f2f\u9798\u64a4\u9798<\/p>\n

3. \u56fa\u5b9a\u5f2f\u9798\u64a4\u9798<\/p>\n

4. \u7535\u6781\u89e3\u65cb<\/p>\n

\n

3. \u603b\u7ed3\u53ca\u5c55\u671b<\/p>\n

Lustgarten\u56e2\u961f\u516c\u5e03\u4e86\u4e00\u79cd\u57fa\u4e8e\u7535\u5b66\u7684 Bachmann \u675f\u8d77\u640f\u65b9\u6cd5\uff0c\u57fa\u4e8e\u5fc3\u5185\u819cBachmann \u675f\u7535\u4f4d\u7684\u8bc6\u522b\uff0c\u5e76\u901a\u8fc7\u8d77\u640f\u7684P\u6ce2\u5f62\u6001\u548c\u5bbd\u5ea6\u8fdb\u884c\u786e\u8ba4\u3002Bachmann \u675f\u7684\u8d77\u640f\u4fdd\u6301\u6b63\u5e38\u7684\u7aa6\u6027P\u6ce2\u5f62\u6001\uff0c\u800cP\u6ce2\u5bbd\u5ea6\u7f29\u77ed\u3002\u4e14\u8d77\u640f\u611f\u77e5\u548c\u9608\u503c\u7a33\u5b9a\u3002<\/p>\n

\u540e\u7eed\u7814\u7a76\uff1a<\/p>\n

\u00d8\u4e2d\u5fc3\u7684Bachmann \u8d77\u640f\u7ecf\u9a8c\u9700\u8981\u5f97\u5230\u5176\u4ed6\u4e34\u5e8a\u4e2d\u5fc3\u9a8c\u8bc1\uff1b<\/p>\n

\u00d8\u53e6\u5916\uff0c\u9700\u8981\u91cf\u5316\u8bc4\u4f30 Bachmann \u675f\u8d77\u640f\u7684\u4e34\u5e8a\u4f18\u52bf\uff1b<\/p>\n

\u00d8\u672a\u6765Bachmann\u8d77\u640f\u53ef\u4ee5\u8fdb\u4e00\u6b65\u8bbe\u8ba1\u5173\u4e8eAF\u3001\u5352\u4e2d\u548c\u5fc3\u529b\u8870\u7aed\u7b49\u5173\u952e\u9884\u540e\u7684RCT\uff0c\u9a8c\u8bc1Bachmann\u8d77\u640f\u7684\u4e34\u5e8a\u4ef7\u503c\u548c\u610f\u4e49\u3002<\/p>\n

\n

\u53c2\u8003\u6587\u732e<\/p>\n

1. https:\/\/\/cases\/iatrogenic-biatrial-flutter-the-role-of-the-bachmanns-bundle\/2. Khaja, Azamuddin; Flaker, Greg (August 2005). ‘Bachmann’s Bundle: Does It Play a Role in Atrial Fibrillation?’. Pacing and Clinical Electrophysiology. 28 (8): 855\u2013863. doi:10.1111\/j.1540-8159.2005.00168.x                3. Lustgarten DL, Habel N, S\u00e1nchez-Quintana D, Winget J, Correa de Sa D, Lobel R, Thompson N, Infeld M, Meyer M. Bachmann bundle pacing. Heart Rhythm. 2024 Sep;21(9):1711-1717. doi: 10.1016\/j.hrthm.2024.03.1786                                                                                          .<\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cBachmann\u675f\u662f\u5fc3\u623f\u95f4\u7535\u6fc0\u6d3b\u7684\u4f18\u5148\u8def\u5f84\u3002\u4f5c\u4e3a\u4f20\u5bfc\u7cfb\u7edf\u7684\u4e00\u5458\uff0cBachman … \u7ee7\u7eed\u9605\u8bfb →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-56923","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/56923","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=56923"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/56923\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=56923"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=56923"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=56923"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}