查詢結果分析
來源資料
相關文獻
- Diagnosis of Progressive Compression of the Aortic True Lumen with Intraoperative Transesophageal Echocardiography during Repair of Dissection of Thoracic Aorta:A Case Report
- The Effect of Coagulation Protection with Combination of Epsilon Aminocaproic Acid and Plasma Saver in Open-Heart Surgery
- Multiplane Transesophageal Echocardiography in the Diagnosis of Sinus Venosus Atrial Septal Defect in Adults
- Diagnosis of Pulmonary Sequestration by Transesophageal Echocardiography: Report of Two Cases
- Transesophageal Echocardiography of a Patient with Fenestrated Type Atrial Septal Defect
- Comparisons of Clinical Presentations and Hospital Outcome between Type A & Type B Aortic Dissections--Six Years' Experience
- Bedside Pericardiocentesis under the Guidance of Transesophageal Echocardiography in a 13-Month-Old Boy
- Left Atrial Vegetation in a Patient with Mitral Regurgitation: Transesophageal Echocardiographic Findings
- Comparison of Neuromuscular Action of Rocuronium, a New Steroidal Non-Depolarizing Agent, with Vecuronium
- 經食道心臟超音波(TEE)在急重症照護的應用
頁籤選單縮合
題名 | Diagnosis of Progressive Compression of the Aortic True Lumen with Intraoperative Transesophageal Echocardiography during Repair of Dissection of Thoracic Aorta:A Case Report=在胸主動脈剝離手術中運用經食道心臟超音波來診斷在體外心肺循環下發生主動脈真腔漸被壓迫的病例報告 |
---|---|
作者 | 洪健朗; 何綺月; 劉宏濱; 鍾涵濡; 陳介絢; 左安順; 楊敏文; | 書刊名 | 麻醉學雜誌 |
卷期 | 39:4 2001.12[民90.12] |
頁次 | 頁183-187 |
分類號 | 415.3024 |
關鍵詞 | 經食道心臟超音波; 術中監視; 胸主動脈瘤; 體外心肺循環; Echocardiography; Transesophageal; TEE; Monitoring; Intraoperative; Aortic aneurysm; Thoracic; Cardiopulmonary bypass; CPB; |
語文 | 英文(English) |
中文摘要 | 本病例爲一在甲型胸主動脈剝離的急診手術中,利用經食道心臓超音波來監控,而發生主動脈真腔逐被心肺循環所灌注的血壓迫的報告。病人在經全身麻醉及經股動脈插管實行體外心肺循環後,經由食道心臓超音波的監控下,發現在降主動脈的假腔逐漸脹大,在幾分鍾內幾科把主動脈真腔完全壓扁‰們分析其可能的機轉,主要與體外心肺循環所灌注的血進入主動脈假腔有關,在經食道心臓超音波偵測下,可清楚發現主動脈真腔塌陷的現象。在此病例中,我們可發現在心肺循環下,利用術中經食道心臓超音波可有效的監控主動脈灌注的情況及真腔被壓迫的狀況。在胸主動脈剝離的手術及心肺循環下,利用經食道心臓超音波可快速地診斷及可有效地提供主動脈灌注的情況。 |
英文摘要 | We report an incident of progressive compression of the true lumen of aorta which happened immediately after cardiopulmonary bypass (CPB) and was diagnosed with intraoperative transesophageal echocardiography (TEE) in a patient undergoing an emergent repair of type A aortic dissection under femoral perfusion. During the CPB period, intraoperative TEE revealed gradual expansion of the false lumen which nearly obstructed the true lumen of the dissected aorta. The possible mechanism was related with distension of the false lumen by a dominant flow from retrograde femoral perfusion of CPB. With the application of intraoperative TEE, we could easily detect the hemodynamic changes of thoracic aorta and find the real causes so as to solve the perfusion abnormalities. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。