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术中经食管超声心动图监测肝未分化胚胎性肉瘤切除术患儿的肺栓塞情况。

Intraoperative Transesophageal Echocardiography to Monitor for Pulmonary Emboli in a Pediatric Patient Undergoing Undifferentiated Embryonal Sarcoma of the Liver Resection.

作者信息

Salik Irim, Lamper Nicolas, Mehta Bhupen, Chan Kar-Mei

机构信息

Department of Pediatric Anesthesiology at Westchester Medical Center, New York Medical College, Valhalla, NY, USA.

出版信息

Case Rep Anesthesiol. 2021 Jun 19;2021:5532028. doi: 10.1155/2021/5532028. eCollection 2021.

DOI:10.1155/2021/5532028
PMID:34239733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8238612/
Abstract

A minimally invasive monitoring technique, intraoperative transesophageal echocardiography (TEE), has been utilized to provide real-time data on volume status and ventricular function in patients undergoing liver transplantation. In this case, TEE was utilized in an 8-year-old female undergoing undifferentiated embryonal sarcoma of the liver resection to monitor for pulmonary emboli, particularly a saddle embolus. In addition to visualization of cardiac structures, TEE can also be utilized to monitor the liver, lungs, spleen, and kidneys. Monitoring for echocardiographic findings of pulmonary embolism in this high-risk patient was an integral part of effective intraoperative management.

摘要

一种微创监测技术，即术中经食管超声心动图（TEE），已被用于为接受肝移植的患者提供有关容量状态和心室功能的实时数据。在本病例中，TEE被用于一名8岁接受肝未分化胚胎性肉瘤切除术的女性患者，以监测肺栓塞，尤其是鞍状栓子。除了可视化心脏结构外，TEE还可用于监测肝脏、肺、脾脏和肾脏。对该高危患者进行肺栓塞的超声心动图检查监测是有效术中管理的一个重要组成部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/8238612/393842ea2bbd/CRIA2021-5532028.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/8238612/dc9e8ccefa67/CRIA2021-5532028.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/8238612/48de06ca1f2b/CRIA2021-5532028.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/8238612/629a5a3cd6f3/CRIA2021-5532028.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/8238612/393842ea2bbd/CRIA2021-5532028.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/8238612/dc9e8ccefa67/CRIA2021-5532028.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/8238612/48de06ca1f2b/CRIA2021-5532028.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/8238612/629a5a3cd6f3/CRIA2021-5532028.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad2/8238612/393842ea2bbd/CRIA2021-5532028.004.jpg

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Liver Transpl. 2020 Aug;26(8):1019-1029. doi: 10.1002/lt.25800.
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Long-term survival outcomes of undifferentiated embryonal sarcoma of the liver: a pooled analysis of 308 patients.
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Case Rep Anesthesiol. 2019 May 26;2019:2429194. doi: 10.1155/2019/2429194. eCollection 2019.
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