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经食管超声心动图在完全性肺静脉异位引流中的应用:探头插入过程中肺静脉汇合处受压导致低血压。

Transesophageal echocardiographic in total anomalous pulmonary venous drainage: hypotension caused by compression of the pulmonary venous confluence during probe passage.

作者信息

Frommelt P C, Stuth E A

机构信息

Department of Pediatrics, Children's Hospita of Wisconsin, Medical College of Wisconsin 53201.

出版信息

J Am Soc Echocardiogr. 1994 Nov-Dec;7(6):652-4. doi: 10.1016/s0894-7317(14)80089-8.

DOI:10.1016/s0894-7317(14)80089-8
PMID:7840994
Abstract

Compression of vascular and airway structures can complicate transducer passage and manipulation during transesophageal echocardiography. This case describes hemodynamic compromise caused by compression of the posterior pulmonary venous confluence by a transesophageal echocardiography probe during intraoperative evaluation in an infant with supracardiac total anomalous pulmonary venous drainage. Careful hemodynamic and airway monitoring during transesophageal echocardiography is required in all patients, particularly during initial probe insertion and esophageal passage.

摘要

在经食管超声心动图检查过程中,血管和气道结构受压会使换能器的插入和操作变得复杂。本病例描述了一名患有心上型完全性肺静脉异位引流的婴儿在术中评估时,经食管超声心动图探头压迫肺静脉后汇合处导致血流动力学受损的情况。所有患者在经食管超声心动图检查期间都需要仔细进行血流动力学和气道监测,尤其是在最初插入探头和通过食管时。

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引用本文的文献

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Temporary pulmonary vein stenosis during intraoperative transesophageal echocardiography in total cavopulmonary connection.
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Obstructive total anomalous pulmonary venous drainage.梗阻性完全性肺静脉异位引流
Indian J Pediatr. 1998 Jan-Feb;65(1):35-45. doi: 10.1007/BF02849692.