经食管超声心动图在心血管术中的应用研究:205例分析

目的 探讨经食管超声心动图（ＴＥＥ）作为常规监测工具，在心血管手术中对外科治疗和麻醉处理的总体影响。方法 ＴＥＥ监测２０５例手术，在体外循环（ＣＰＢ）前后对心脏和血管的结构及功能在全面检查和监测。结果：ＴＥＥ检测对治疗的干预为７３例次（３５．６％），一般性干预２２例次（１０．７％），决策性干预５１例次（２４．８％）；瓣膜病相关性干预４９例次高于非瓣膜病相关性干预２４例次（分别为６７．１％，３２．９

Transesophageal Echocardiography in Cardiovascular Surgery: A Report of 205 Cases

ObjectiveToanalysis the impact on surgical and anesthetic management of intraoperative TEE.MethodsIn205 procedures, comprehensive TEE examinations were performed before, during, and aftercardiopulmonary bypass, and when necessary. ResultsAltogether, 73management changes were made based on TEE findings. By our definition, minor changes were22 (10.7%) and major ones were 51 (24.8%). Valvular related changes were significantlyhigher than non-valvular ones (49 vs 24, 67.1% vs 32.9%). Preoperative diagnostic problemswere 10 (4.8%), significant dysfunction after bypass was 9(4.4%), and 6(2.9%) patientswere returned to cardiopulmonary bypass for further treatment. ConclusionIntraoperativeTEE plays an important role in cardiovascular operations. More attempts are deserved tofocus on monitoring ventricular function. Outcome study of Outcome study of large numbersof patients will be necessary to focus on monitoring ventricular function. Outcome studyof large numbers of patients will be necessary to conclusively validate the impact ofintraoperative TEE.