经胸超声心动图评估心脏和大血管。
Transthoracic echocardiographic evaluation of the heart and great vessels.
机构信息
Département d'Anesthésiologie et Services de Soins Intensifs, Institut de Cardiologie de Montréal, Université de Montréal, 5000 Belanger Street, Montreal, QC, H1T 1C8, Canada.
Département d'Anesthésiologie, Département de Soins Intensifs Adultes, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, 2725, Chemin Sainte-Foy, Quebec, QC, G1V 4G5, Canada.
出版信息
Can J Anaesth. 2018 Apr;65(4):449-472. doi: 10.1007/s12630-018-1068-4. Epub 2018 Jan 19.
PURPOSE
Transthoracic examination of the heart and great vessels is an essential skill that allows the anesthesiologist to evaluate cardiac function. In this article, we describe a pragmatic technique to obtain the essential views to evaluate normal or abnormal cardiac function and to appreciate great vessel anatomy and physiology.
PRINCIPAL FINDINGS
The cardiac anatomy and function can be described using standard parasternal, apical, and subcostal views. These windows can also be used to assess the aorta, pulmonary artery, and vena cavae; however, other transthoracic and abdominal windows can be used to complete the evaluation of the great vessels.
CONCLUSIONS
The integration of the echocardiographic information particularly from the heart and great vessels with the case story, physical examination, laboratory data, and other relevant clinical information should become the way of the future, and this will benefit the patients under our care.
目的
经胸心脏和大血管检查是麻醉医师评估心功能的一项基本技能。本文描述了一种实用技术，可获取评估正常或异常心功能以及了解大血管解剖和生理学的基本视图。
主要发现
心脏解剖结构和功能可以使用标准的胸骨旁、心尖和肋下视图来描述。这些窗口还可用于评估主动脉、肺动脉和腔静脉；但是，也可以使用其他经胸和腹部窗口来完成大血管的评估。
结论
将超声心动图信息，特别是来自心脏和大血管的信息与病例情况、体格检查、实验室数据和其他相关临床信息相结合，应该成为未来的趋势，这将使我们所照顾的患者受益。
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