经食管超声心动图在基层医院心脏外科手术中的应用

目的探讨经食管超声心动图在基层医院心脏外科手术中的应用价值。方法应用经食管超声心动图监测95例心脏手术,分别在体外循环或心脏手术前后对心脏大血管结构、功能、血流情况行全面检查和评价,术前指导修正手术方案,术中评价手术效果并指导是否再次手术。结果经食管超声心动图于体外循环或心脏手术前修正诊断26例(27.4%),其中7例未影响手术方式,19例影响手术方案。决策性干预42例(44.2%),其中瓣膜病30例,非瓣膜病12例。全部病例均进行了一般性干预。结论经食管超声心动图可于体外循环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,具有重要临床应用价值。

Clinical application of intraoperative transesophageal echocardiography in cardiac surgery in basic hospital

ObjectiveTo investigate the application value of intraoperative transesophageal echocardiography(TEE)in cardiac surgery in basic hospital.MethodsNinety-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,or before/after cardiac surgery,to guide the revision of operation plan,evaluate the effect of operation and guide whether to operate again.ResultsDiagnosis was corrected for 26 patients(27.4%)before cardiopulmonary bypass or cardiac surgery by TEE,of which 7 cases did not affect the operative procedures and 19 cases affected the surgical planningoperation scheme.Fortytwo patients(44.2%)received decisional intervention,including 30 cases of valvular disease and 12 cases of non valvular disease.All patients received general intervention.ConclusionIntraoperative TEE can be used for preoperative modification of diagnosis,intraoperative continuous monitoring and guiding,and immediate postoperative evaluation of operative effect,which has important clinical application value.