食道超声心动图联合肺动脉导管对心脏瓣膜疾病合并冠心病患者手术效果的影响

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (35 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the influence of esophageal echocardiography combined with pulmonary artery catheter on surgery effect of the patients with heart valve disease complicated with coronary heart disease.Methods 30 patients with heart valve disease complicated with coronary heart disease underwent surgery in our hospital from January 2012 to January 2014 were selected as the control group,30 patients with heart valve disease complicated with coronary heart disease underwent surgery in our hospital from Februry 2014 to January 2015 were selected as the experimental group. The experimental group was given esophageal ultrasound before surgery,the floating catheter was placed,and the valve and cardiac function were evaluated.The control group was given preoperative echocardiography,no other special monitoring methods were given.Preoperative,intraoperative,postoperative circulation fluctuation andⅠCU residence time and postoperative review were compared between the two groups.Results The difference of mean arterial pressure(MAP)in the experimental group was lower than that in the control group,with significant difference(P＜0.05).The postoperativeⅠCU residence time in the experimental group was shorter than that in the control group,with significant difference(P＜0.05).The transformation rate of the experimental group was 96.7%,which was higher than 80.0%of the control group, with significant difference(P＜0.05).Conclusion Esophageal ultrasound combined with pulmonary artery catheter can enhance the circulation management of patients with heart valve disease complicated with coronary heart disease,reduce the postoperativeⅠCU residence time,which is beneficial to the patient′s prognosis.

Key words： Esophageal ultrasound Pulmonary artery catheter Valve Coronary heart disease

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XIAO Lu
	SU Xin-juan
	HU Jie▲

Cite this article:

XIAO Lu,SU Xin-juan,HU Jie▲. Influence of esophageal echocardiography combined with pulmonary artery catheter on surgery effect of the patients with heart valve disease complicated with coronary heart disease[J]. 中国当代医药, 2016, 23(30): 115-117.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I30/115

[1]	Arifputera A，Loo G，Chang P，et al.An unusual case of dysphonia and dysphagia[J].Singapore Med J，2014，55（2）：31-33.
[2]	赵春晓，周爱云.经食道超声心动图监测经胸小切口室间隔缺损封堵术的应用价值[J].中国临床医学影像杂志，2012，23（10）：738-740.
[3]	王冰，吕冬梅.实时三维经食道超声心动图在二尖瓣成形术中应用的研究进展[J].中国老年学杂志，2012，32（15）：3350-3352.
[4]	王冰，吕冬梅.实时三维经食管超声心动图在二尖瓣成形术中的应用研究[J].中国心血管病研究，2016，14（3）：268-271，285.
[5]	张卫，方亮，叶伟，等.应用三种二尖瓣前叶成形技术治疗二尖瓣关闭不全的对照研究[J].上海交通大学学报（医学版），2013，33（3）：327-330.
[6]	林淑霞.224例心血管手术应用经食道超声心动图的回顾性分析[J].心血管康复医学杂志，2011，20（1）：50-52.
[7]	王振红，史宏伟，魏海燕，等.经二尖瓣超声多普勒法与经肺动脉导管热稀释法测定心脏指数的一致性研究[J].生物医学工程与临床，2014，18（5）：448-453.
[8]	繆娟娟，史宏伟，赵雅梅，等.心脏术中肺动脉导管和食道超声监测对容量反应的敏感性及特异性分析[J].临床麻醉学杂志，2014，30（7）：629-633.
[10]	唐耀平，刘鹰，梁萍，等.益心脉颗粒干预非瓣膜性房颤合并血栓形成临床研究[J].新中医，2012，44（8）：16-18.
[11]	廖亿舜，林跃华，曾志文.肺动脉导管在危重心血管术中及术后的应用[J].河北医学，2012，18（6）：770-772.
[9]	Gripari P，Tamborini G，Barbier P，et al.Real-time three dimensional transoe sophageal echocardiography：a new intraoperative feasible and useful technology in cardiac surgery[J].Ⅰnt J CardiovascⅠmaging，2010，26（6）：651-660.
[12]	胡小菊，史宏伟，严金燕，等.食道超声心动图经二尖瓣和升主动脉测定二尖瓣置换术患者心脏指数的一致性[J].中华麻醉学杂志，2012，32（11）：1376-1378.
[13]	孙杰，杨建军，徐建国.围术期液体容量的评估[J].临床麻醉学杂志，2013，29（9）：923-925.
[14]	于志强，余剑波.超声技术在临床麻醉中的应用[J].医疗卫生装备，2012，33（2）：115-116.
[15]	吴安石.超声在麻醉领域的现状与未来[J].北京医学，2014，36（8）：617-618.