术中经食管超声心动图在体外循环主动脉深插管监测中的应用  

Application of Intraoperative Transesophageal Echocardiography in Monitoring Deep Aortic Cannulation in Open Heart Surgery

作　　者：赵博文[1] 吕江红[1] 何启才[2] 陈自立[2] 周大春[3] 范妙英[1] 寿金朵[1] 汤富刚[1] 范晓明[1] 徐海珊[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院超声科,杭州市310016 [2]浙江大学医学院附属邵逸夫医院心胸外科,杭州市310016 [3]浙江大学医学院附属邵逸夫医院麻醉科,杭州市310016

出　　处：《中国超声医学杂志》2002年第8期599-600,共2页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 :探讨术中经食管超声心动图对心脏病手术中体外循环主动脉深插管的监测价值。方法 :采用术中经食管超声心动图对 82例瓣膜性心脏病人工瓣置换术及先天性心血管畸形矫正术行体外循环患者主动脉深插管进行监测。结果 :82例患者术中经食管超声心动图均清晰显示降主动脉内两条平行排列之强回声光带 ,中间为无回声区 ,宽度与术中所用插管内径相符 ,拔管后均清楚显示降主动脉内强回声光带消失 ,成功率达 10 0 %。结论 :术中经食管超声心动图能够清晰地显示主动脉深插管的准确位置 ,其应用有助于准确可靠地指导体外循环主动脉深插管的完成 ,从而减少了并发症。Objective:To evaluate the application of intraoperative transesophageal echocardiography in monitoring deep aortic cannulation in open heart surgery under cardiopulmonary bypass.Methods:Eight two patients underwent open heart surgery were monitored by intraoperative transesophageal echocardiography.The characteristics of deep aortic cannulation was evaluated.Results:Deep aortic cannulation was successfully monitored by intraoperative transesophageal echocardiography in all 82 patients.Conclusions:Intraoperative transesophageal echocardiography plays important role in monitoring deep aortic cannulation in open heart surgery under cardiopulmonary bypass.

关 键 词：术中经食管超声心动图 主动脉深插管 体外循环 心脏病 临床应用 

分 类 号：R445.1[医药卫生—影像医学与核医学]