Ciçek S, Demiriliç U, Kuralay E, Tatar H, Ozturk O
Department of Cardiovascular Surgery, GATA, Gülhane School of Medicine, Ankara, Turkey.
J Card Surg. 1995 May;10(3):236-44. doi: 10.1111/j.1540-8191.1995.tb00604.x.
The value and utility of transesophageal echocardiography (TEE) in unstable cardiac surgical patients have been assessed; 119 TEE studies were performed and evaluated in the emergency setting. The studies were performed in the cardiac surgical intensive care unit (n = 62) and in the operating room (n = 57). There were 81 men and 38 women with a mean age of 58.2 years. The indications for TEE were as follows: hypotension refractory to conventional treatment (n = 83); prosthetic or native valve dysfunction (n = 25); and suspected aortic dissection (n = 10). TEE provided valuable diagnostic information in 107 patients and was completely normal in 12 patients. Based on these results 22 patients had urgent surgical intervention without further studies. The average time to diagnosis was 11.2 minutes. No significant complications were noted. Our results suggest that TEE is highly diagnostic for most of the abnormalities responsible for hemodynamic instability in the perioperative period and facilitates decision making in cardiac surgical emergencies.
经食管超声心动图（TEE）在不稳定心脏外科手术患者中的价值和实用性已得到评估；在急诊情况下进行并评估了119项TEE检查。这些检查在心脏外科重症监护病房（n = 62）和手术室（n = 57）进行。共有81名男性和38名女性，平均年龄为58.2岁。TEE的适应证如下：常规治疗无效的低血压（n = 83）；人工瓣膜或天然瓣膜功能障碍（n = 25）；疑似主动脉夹层（n = 10）。TEE为107例患者提供了有价值的诊断信息，12例患者检查结果完全正常。基于这些结果，22例患者未经进一步检查即接受了紧急手术干预。平均诊断时间为11.2分钟。未观察到明显并发症。我们的结果表明，TEE对围手术期大多数导致血流动力学不稳定的异常情况具有高度诊断价值，并有助于心脏外科急诊的决策制定。
