心脏体外循环术中及急诊床旁彩色多普勒超声心动图的临床作用.doc

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1、心脏体外循环术中及急诊床旁彩色多普勒超声心动图的临床作用【关键词】床旁【摘耍】目的探讨心脏急诊床旁及心脏外科手术中彩色多普勒超声心动图（CDE）的临床应用价值。方法总结151例急诊床旁UCG及69例心脏体外循环术中CDE的临床应用效果。结果急诊床旁CDE对T27例器质性心脏病患者的及时止确诊断、治疗决策及24例胸痛或气促患者协助除外心源性病因提供了至关重要的信息，CDE影响诊断的占61.2%（93/151）,影响治疗的占54.3%（82/151）,对挽救部分病人的生命发挥了关键作用。28例先天性心脏病矫治术及41例瓣膜置换

2、术共69例患者作了术中UCG,在体外循环前修止了6例患者的术前漏、误诊并发现3例血栓，在体外循环后及时发现6例并发症（4例残存分流或返流、2例心腔内气休），均经立即改变于术方案或采取补救措施血获得满意治疗效果。结论急诊及心脏休外循环术中床旁UCG有着重耍临床应用价值。关键词心脏急诊心脏外科彩色多普勒超声心动图床旁vPstyle=,TEXT-INDENT:24pxnalign=center>ClinicalactionofcolarDopplerechocardiogra

3、phyatbedsideincardiacemergencyandsurgeryCaiYunchang,YuShan,LiangQin,etal.GuizhouProvincialPeopleJsHospital,GuizhouProvincialHeartHospital,Guiyang55

4、0002.[Abstract]ObjectiveToevaluateclinicalvalueofcolorDopplerechocardiography（CDE）atbedsideincardiovascularemergencyandcardiacsurgery.MethodsTheclinicalpracticeofusingCDEatbedsideinl51pa"tientswithcardiovascularemergencyand69patientswith

5、cardiacsurgerywassummarized.ResultsDiagnosisof61.2%（93/151）andtreatmentof54.3%（82/151）ofpatientswithcardiacemergencywasinfluenced.CDEhadpro一videdutmostimportantinformationforcorrectdiagnosesandpromptcureinl27patientswithcardiovasculardiseasesandforexceptingheartdi

6、seasesin24patientswithchestpainordyspnea,aridCDEhadmadekeyactiontosaveliteofapartofpatients.In69patientswithcarediacsurgery,newcoexistingabnormalitiesorthrombosiswerefoundbeforeopeningtheheartin9patientsandregurgitation,shuntandgasincardiacchamberwerefoundaftercar

7、diopulmonarybypassin6patients.AHpatientswerereoperatedimmediatelyandsuccessfully.ConclusionCDEatbedsidecouldofferimportantapplicationvalueincardiovascularemergencyandsurgery.KeywordscardiacemergencycardiacsurgerycolorDopplerechocardiogra

8、phybedside本院自2001年10月引进了便携式彩色多普勒超声诊断（CDE）仪，至今已对151例心脏内科住院患者作了急性床旁CDE检杳，并对69例心脏外科体外循环于术患者作了术中经心外膜CDE检查，在心脏内外科临床发挥了重耍作用，现予总结报道，