Skarvan K
Departement Anästhesie, Kantonsspital Basel, Schweiz.
Infusionsther Transfusionsmed. 1993 Jun;20(3):111-5.
By means of transesophageal echocardiography it is now possible to assess and to monitor left ventricular function during anesthesia and surgery. Furthermore, the determinants of the left ventricular function (preload, afterload and contractility) can also be evaluated in real time. Based on this information, a specific therapy can be started immediately should ventricular function become inadequate. In addition to global function, regional ventricular function can be analyzed at the same time. The detection of regional wall motion abnormalities can be most helpful for anesthetic management of patients with coronary heart disease and for the diagnosis of intraoperative myocardial ischemia.
通过经食管超声心动图，现在可以在麻醉和手术期间评估和监测左心室功能。此外，还可以实时评估左心室功能的决定因素（前负荷、后负荷和收缩力）。基于这些信息，如果心室功能不足，可以立即开始特定的治疗。除了整体功能外，还可以同时分析局部心室功能。检测局部室壁运动异常对冠心病患者的麻醉管理和术中心肌缺血的诊断最有帮助。
