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[1]田瑞霞,史学功,肖洁,等.经心外膜超声心动图在冠状动脉旁路移植术中的应用价值[J].医学研究与战创伤救治(原医学研究生学报),2016,18(04):385-387.[doi:10.3969/j.issn.1672-271X.2016.04.014]
　TIAN Rui-xia,SHI Xue-Gong,XIAO Jie,et al.Application value of intraoperativeepicardial echocardiography in coronary artery bypass grafting[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(04):385-387.[doi:10.3969/j.issn.1672-271X.2016.04.014]
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经心外膜超声心动图在冠状动脉旁路移植术中的应用价值()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年04期
页码:
385-387
栏目:
出版日期:
2016-08-20

文章信息/Info

Title:
Application value of intraoperativeepicardial echocardiography in coronary artery bypass grafting
作者:
田瑞霞1; 史学功2; 肖洁2; 韩继彪3; 魏卓君1; 陈训1
1. 230031安徽合肥，解放军105医院超声科;2. 230031安徽合肥,安徽医科大学第一附属医院心内科；3. 230031安徽合肥,解放军105医院心外科
Author(s):
TIAN Rui-xia1; SHI Xue-Gong2; XIAO Jie2;  HAN Ji-Biao3;  WEI Zhuo-Jun1; CHEN Xun1.
1. Department of Medical Ultrasound, 105 Hospital of PLA, Hefei，Anhui 230031, China;2.Department of Cardiology, First Affiliated Hospital of Anhui Medical University, Hefei，Anhui 230031, China; 3.Department of Heart Surgery,105 Hospital of PLA, Hefei，Anhui 230031, China
关键词:
冠心病; 超声心动图; 心外膜; 冠状动脉旁路移植术
Keywords:
coronary heart disease;  echocardiography;  epicardium;  coronary artery bypass grafting
分类号:
R445.1
DOI:
10.3969/j.issn.1672-271X.2016.04.014
文献标志码:
A
摘要:
目的 应用经心外膜超声心动图（IEE）检查接受冠状动脉旁路移植术（CABG）的患者，评价该超声技术在CABG术中的应用价值。方法 选取31例冠心病患者（单纯冠心病 20例，合并高血压病 6例、合并瓣膜病5例），分别用IEE观察CABG术前、术后心肌的收缩功能，瓣膜的形态、位置及启闭活动，血管吻合口处的血流情况等。结果 IEE术中发现6例患者左心收缩活动减弱，提示低心排血量 ；2例患者发现冠状动脉左前降支中段拟吻合口处有钙化斑块，改远端吻合后检测血流良好；1例患者见升主动脉根部拟吻合处有钙化斑块，改变吻合口位置后，血流情况良好；1例患者拟行二尖瓣成形 术，后因二尖瓣反流显著导致成形困难，遂改植入机械瓣，术后IEE未探及异常反流和瓣周漏，余患者未见明显异常。结论 IEE能准确观测心脏的结构及舒缩功能，及时、清晰地显示桥血管吻合处的血 流情况，指导手术操作方法和吻合口位置的选择，在CABG术中具有十分重要的临床意义。
Abstract:
Objective To evaluate the value of intraoperative epicardial echocardiography (IEE) in patients with coronary artery bypass grafting (CABG). Methods 31 patients with coronary heart disease (20 cases of simple coronary heart disease, 6 cases with hypertension, 5 cases with valvular disease) were selected. IEE were used to observe the systolic function of CABG, the shape and position of the valve, and the blood flow at the anastomosis of the blood vessel before and after the operation. Results Left ventricular systolic activity decreased in 6 patients during IEE, suggesting a low cardiac output; calcification plaque of 2 cases was found in the middle of the left anterior descending branch of the left anterior descending artery, and the blood flow was good after changing the position of the distal anastomosis; calcified plaque of one case was found in ascending aortic root, the blood flow was good after changing the location of the anastomosis; one case planned to undergomitral valve plasty. Due to forming difficulties caused by mitral regurgitation, mechanical valve was implanted, and abnormal reflux and paravalvular leakage was not detected postoperative IEE. The remaining patients had no obvious abnormalities. Conclusion IEE can accurately observe cardiac structure and shrinkage function, timely and clearly display blood flow of bridge vascular anastomosis, guide the selectionof operation method and location of anastomosis, and has very important clinical significance in CABG.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2016-07-20