Sutherland G R, Stümper O F
Department of Cardiology, Western General Hospital, Scotland, UK.
Curr Opin Pediatr. 1993 Oct;5(5):598-605. doi: 10.1097/00008480-199310000-00014.
The development of pediatric transesophageal ultrasound imaging represents an important advance in the diagnosis and treatment of the child with congenital heart disease. Although primary diagnostic transesophageal studies are seldom indicated in infants and unoperated children, they have an important role in the older child especially where there has been prior cardiac surgery. Diagnostic studies are most appropriate for abnormalities of venous return, the atria, atrioventricular valves, and the left ventricular outflow tract. Two other important areas in which transesophageal imaging is playing an increasing role in the treatment of the pediatric patient is in monitoring interventional catheterization and in the intraoperative and immediate postoperative monitoring of surgical repair.
小儿经食管超声成像的发展是先天性心脏病患儿诊断和治疗方面的一项重要进展。虽然婴幼儿和未经手术的儿童很少需要进行经食管超声的初步诊断检查，但对于大龄儿童，尤其是有过心脏手术史的儿童，经食管超声检查具有重要作用。诊断性检查最适用于静脉回流、心房、房室瓣和左心室流出道的异常情况。经食管成像在小儿患者治疗中发挥越来越重要作用的另外两个重要领域是监测介入导管插入术以及手术修复的术中及术后即刻监测。
