术中经食管超声心动图在心脏手术中的影响：对850例检查的系列回顾性分析。
Impact of intraoperative transesophageal echocardiography in cardiac surgery: retrospective analysis of a series of 850 examinations.
作者信息
Silva Fernanda, Arruda Ricardo, Nobre Angelo, Mendes Mário, Lemos Alberto, Gallego Javier, Mendes Samuel, Cravino João
机构信息
Serviço de Anestesia do Hospital de Santa Maria, Lisboa, Portugal.
出版信息
Rev Port Cardiol. 2010 Sep;29(9):1363-82.
OBJECTIVE
To evaluate the impact of intraoperative transesophageal echocardiography (TEE) on surgical decisions patients undergoing cardiac surger in a Portuguese hospital.
METHODS
The authors retrospectively analyzed a series of 850 examinations performed between 2003 and 2009 in patients who underwent different cardiac surgical procedures. Medical records and TEE reports were reviewed to determine whether new information was found and whether this changed the surgical plan.
RESULTS
Intraoperative TEE revealed new information in 32% of the study population and had surgical impact in 29% of all patients. TEE had the greatest impact in class I indications, but its use in class II indications also had a significant impact. No cases of morbidity or mortality were found.
CONCLUSIONS
Our findings suggest that intraoperative TEE should be used routinely in all patients undergoing cardiac surgery.
目的
评估术中经食管超声心动图（TEE）对葡萄牙一家医院接受心脏手术患者手术决策的影响。
方法
作者回顾性分析了2003年至2009年间对接受不同心脏手术的患者进行的一系列850次检查。查阅病历和TEE报告，以确定是否发现新信息以及这是否改变了手术计划。
结果
术中TEE在32%的研究人群中发现了新信息，对29%的所有患者产生了手术影响。TEE在I类适应证中影响最大，但其在II类适应证中的使用也有显著影响。未发现发病率或死亡率病例。
结论
我们的研究结果表明，术中TEE应常规用于所有接受心脏手术的患者。
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