术中心外膜超声心动图对于心脏外科手术的作用

对４８例心脏病手术患者进行了术中心外膜超声心动图检查。体外循环前检查有４例患者发现新病变，因而改变了手术方案，增咖了手术内容。３例患者解除了临床上的疑点，进一步肯定了术前超声检查。体外循环后检出残余分流６处，瓣膜反游１处。结果表明术中心外膜超超声检查一项快速，准的检查技术，它对心脏外科手术有重要影响，体外循环后心外膜超声检查能对手术结果作出及时准确的评价。

The effect of intraoperative epicardial echocardiography on surgical management of heart diseases

Intraoperative epicardiechocardiography (IEE) was performed in 48 patients. Before cardiopulmonary bypass, studies revealed previously unsuspected details of the anatomy in 7 of 48 patients. After cardiopulmonary bypass, studies revealed that 6 patients who underwent repair of congenital heart disease had residual shunt, and 1 patient who underwent valvuloplasty had mild valve regurgitation. The results show that IEE is a rapid and exact method for examining of the patients with heart disease. It can make a important impact on surgical management. Postcardiopulmonary bypass, it can make a assess timely and exactly for the effect of operation.