经食管超声心动图在诊治危重心脏瓣膜病术后低心排综合征中的应用价值  

The Applied Value of Transesophageal Echocardiography in the Diagnosis and Treatment of Postoperative Low Cardiac Output Syndrome of Critical Cardiac Valvular Disease

作　　者：宋建祥[1] 张亚军[1] 张国培[2] 董璟[3] 施展[1] 常绘文[1] 

机构地区：[1]东南大学附属盐城医院心胸外科,江苏盐城224005 [2]东南大学附属盐城医院重症监护室,江苏盐城224005 [3]东南大学附属盐城医院超声医学科,江苏盐城224005

出　　处：《中国临床医学》2014年第5期568-569,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:评价经食管超声心动图(transesophageal echocardiography,TEE)在诊治危重心脏瓣膜病术后低心排综合征中的价值。方法:回顾分析16例术后发生低心排综合征的危重心脏瓣膜病患者的术前资料和术后低心排综合征的诊治情况。结果:16例中经TEE检查后需行主动脉内球囊反搏术(intra-aortic balloon pump,IABP)的患者9例,其中7例恢复良好,无IABP相关并发症;2例病死;经TEE检查无需行IABP的患者7例,其中再次开胸探查2例,其余5例应用血管活性药物及改善内环境后好转。结论:TEE可用于鉴别诊断危重心脏瓣膜病术后低心排综合征的病因,并为IABP的合理应用提供依据,具有较高的应用价值。Objective：To evaluate the value of transesophageal echocardiography（TEE）in postoperative low cardiac output syndrome of critical cardiac valvular disease.Methods：The preoperative data of 16 patients with critical cardiac valvular disease who suffered from postoperative low cardiac output syndrome,as well as the postoperative treatment of them,was retrospec-tively analyzed.Results：Among the 16 patients,9 cases underwent intra-aortic balloon pump（IABP）support suggested by TEE.And 7 of the 9 patients recovered without complications,while the other 2 patients died.IABP were not suggested by TEE in 7 patients,2 of whom underwent exploratory thoractomy,while the other 5 patients recovered after adjustment of vas-opressor agents and improvement of internal environment.Conclusions：TEE can be used in the differentiation of the cause of postoperative low cardiac output syndrome in patients with critical cardiac valvular disease and it can provides the basis for the reasonable application of IABP.

关 键 词：经食管超声心动图 主动脉内球囊反搏术 低心排综合征 

分 类 号：R541[医药卫生—心血管疾病]