Bryan A J, Barzilai B, Kouchoukos N T
Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Missouri.
Ann Thorac Surg. 1995 Mar;59(3):773-9. doi: 10.1016/0003-4975(94)00818-3.
Transesophageal echocardiography (TEE) now is used widely as a monitoring technique during and after cardiac operations. Widespread adoption of the technique has provided a wealth of new information. This review analyzes the influence of TEE on the routine conduct of cardiac operations and on surgical decision making in specific areas. Its use in routine hemodynamic monitoring and problem solving, both intraoperatively and postoperatively, is discussed. Transesophageal echocardiography has a particular role in valve operations, in guiding and assessing the immediate results of mitral valve repair. It also has found application in the grading and operative management of the severely atheromatous aorta, the diagnosis and management of aortic dissection, and other aspects of surgery of the thoracic aorta. In addition, management in specialized areas, such as cardiopulmonary transplantation and the insertion and monitoring of ventricular assist devices, have also been helped by the information provided by TEE.
经食管超声心动图（TEE）目前在心脏手术期间及术后被广泛用作一种监测技术。该技术的广泛应用提供了大量新信息。本综述分析了TEE对心脏手术常规操作及特定领域手术决策的影响。文中讨论了其在术中及术后常规血流动力学监测和问题解决中的应用。经食管超声心动图在瓣膜手术中，尤其在指导和评估二尖瓣修复的即时效果方面具有特殊作用。它还已应用于严重动脉粥样硬化性主动脉的分级和手术管理、主动脉夹层的诊断和管理以及胸主动脉手术的其他方面。此外，TEE提供的信息也有助于心肺移植和心室辅助装置的植入及监测等专业领域的管理。
