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題名 | Airway Compression by a Biplane Pediatric Transesophageal Echocardiography Probe: Case Report=使用小兒雙平面經食道超音波探頭造成呼吸道壓迫:病例報告 |
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作者 | 何綺月; 譚培炯; 楊敏文; 鍾志豪; 張昭雄; Ho, Angie CY; Tan, Peter PC; Yang, Min-wen; Chung, Peter CH; Chang, Chau-hsiung; |
期刊 | 長庚醫學 |
出版日期 | 19980900 |
卷期 | 21:3 1998.09[民87.09] |
頁次 | 頁333-337 |
分類號 | 416.13 |
語文 | eng |
關鍵詞 | 經食道超音波; 呼吸道壓迫; Transesophageal echocardiography; Airway compression; |
中文摘要 | 經食道超音波在成人和小孩已被廣泛使用在心臟外科手術來評估心臟功能以及結 構之關係。經食道超音波在小孩和嬰兒的使用上需要特別小心,由於雙平面探頭過大會壓迫 呼吸道以及血管而造成傷害。如果造成很嚴重的呼吸道及血管的壓迫,此項經食道超音波檢 查須要終止。本文乃敘述12個月大,患有先天性心臟病的小孩接受小兒雙平面經食道超音波 而造成呼吸道壓迫之病例報告。雖然科技進步迅速,較小的經食道超音波探頭已被設計出來 ,可是此類小孩由於在有限的食道和咽喉的空間裡,要容納鼻胃管,探頭以及支氣管插管, 造成壓迫呼吸道以及血管的危險機率也會隨之而增加,因此經食道超音波在使用上更要加倍 小心。 |
英文摘要 | Transesophageal echocardiography (TEE) has been extensively used in cardiac surgery to assess cardiac function and anatomical relationships in both adults and children. Newer monitoring cevices, despite being labeled "noninvasive", often present significant risks. Physicians should be cautious with the use of TEE in infants and small children, recognizing that oversized probes may inadvertently compress vital structures, resulting in airway or vascular compromise. If severe compression of the airway or vascular structures occurs, TEE monitoring may need to be discontinued. Although technological progress has yielded smaller ultrasonic probes, the TEE probe is significantly larger than most other devices placed in the esophagus. We present in this report a case of airway compression using a small-sized biplane Pediatric TEE probe in a child undergoing Blalock-Taussig shunt surgery. Pediatric patients may be more at risk for airway obstruction because of the over-size of the probe-distended esophagus in relation to adjacent airway structures. |
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