| 摘要: |
| 目的 探讨术中经食道超声心动图在心脏外科手术中的应用价值。方法 术中经食道超声心动图监测95例心脏手术,分别在体外循环(CPB)或心脏手术前及心脏手术后对心脏及大血管结构、功能、血流行全面检查和评价,对微创封堵术行连续监测、引导。结果 体外循环(CPB)或心脏手术前修正诊断26例(27.4%)。决策性干预42例(44.2%),全部病例都进行了一般性干预。结论 术中经食道超声心动图可于体外循环(CPB)或心脏手术前修正诊断,术中连续监测、引导,术后即刻评价手术效果,并指导术后排气,评估心脏局部和整体功能及血容量等,对于心脏外科手术的监测和评价具有重要价值。 |
| 关键词: 经食道超声心动图 心脏外科手术 术中监测 应用价值 |
| DOI： |
| 投稿时间：2019-05-05修订日期：2019-05-17 |
| 基金项目: |
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| Clinical Value of Intraoperative Transesophageal Echocardiography in Cardiac surgery |
| LUO Kaiqin |
| (The First People''''s Hospital of Guangyuan City,Sichuan ,China) |
| Abstract: |
| Objective To investigate the application value of intraoperative transesophageal echocardiography (TEE) in cardiac surgery.Methods Ninety-five cardiac surgery patients were monitored by intraoperative TEE. Their cardiac and macrovascular structures, functions and blood flow were completely examined and evaluated during cardiopulmonary bypass (CPB), or before/after cardiac surgery. Minimally invasive occlusion was continuously monitored and guided.Results The diagnosis was modified preoperatively in 26 patients (27.4%). Decisive intervention was performed in 42 (44.2%), while all patients received general intervention..Conclusion Intraoperative TEE can be used for preoperative modification of diagnosis, intraoperative continuous monitoring and guiding, and immediate postoperative evaluation of operative effect; also, it directs postoperative passing flatus, evaluates local and overall cardiac function and blood volume, and has important value in monitoring and evaluating the cardiac surgery. |
| Key words: Transesophageal echocardiography,Cardiac surgery,Intraoperative monitoring, clinical value. |
