Habre W N, van Gessel E F, Mamie C, Cantieni R, Suter P M
Department of Anaesthesia, University Hospital of Geneva, Switzerland.
Acta Anaesthesiol Scand. 1994 Aug;38(6):612-4. doi: 10.1111/j.1399-6576.1994.tb03961.x.
Severe aortic regurgitation was discovered in a young man 21 days after blunt chest trauma and after a prolonged febrile state with positive blood cultures. Using transoesophageal echocardiography (TEE), it was possible to make the differential diagnosis between traumatic rupture and endocarditis as the cause of valvular insufficiency. The use of TEE in the initial evaluation of severe thoracic trauma with an unclear clinical picture is recommended. This method is easy to use at the bedside and gives precise information on the aortic valve and the ascending aorta.
一名年轻男性在胸部钝性创伤21天后，经历了长时间发热且血培养呈阳性，之后被发现患有严重主动脉瓣反流。通过经食管超声心动图（TEE），能够对导致瓣膜功能不全的原因是创伤性破裂还是心内膜炎进行鉴别诊断。建议在临床情况不明的严重胸部创伤初始评估中使用TEE。该方法易于在床边操作，能提供有关主动脉瓣和升主动脉的精确信息。
