CAJ | 학술논문

目的对比评价每种心血管疾病的术中心功能变化。方法采用经食管超声心动图(TEE)技术，监测186例患者手术全过程10项指标的心功能，并将186例患者分类为瓣膜病、冠心病、动脉瘤、先心病及其他疾病共5组，将其监测结果进行比较。结果左室舒张末期容积与收缩末期容积在手术全过程中存在显著差异：尤其是瓣膜病与冠心病比较、瓣膜病与动脉瘤比较，P＜0.01。左室射血分数：瓣膜病O.52±0.07，冠心病O.55±0.08，动脉瘤O.56±0.07，先心病O.57±0.07，其他病0.57±0.08。结论术中经食管超声检查提供的临床资料，能更加全面地评价手术时的心脏功能。
목적대비평개매충심혈관질병적술중심공능변화。방법채용경식관초성심동도(TEE)기술，감측186례환자수술전과정10항지표적심공능，병장186례환자분류위판막병、관심병、동맥류、선심병급기타질병공5조，장기감측결과진행비교。결과좌실서장말기용적여수축말기용적재수술전과정중존재현저차이：우기시판막병여관심병비교、판막병여동맥류비교，P＜0.01。좌실사혈분수：판막병O.52±0.07，관심병O.55±0.08，동맥류O.56±0.07，선심병O.57±0.07，기타병0.57±0.08。결론술중경식관초성검사제공적림상자료，능경가전면지평개수술시적심장공능。
Objective To compare the changes in cardiac function in different cardiovascular diseases during operation.Methods Ten indexes of cardiac function in 186 patients were monitored during operation by using the operative trans-esophageal echocardiography(TEE). These patients were divided into 5 groups ,namely valvular diseases ,coronary diseases ,a-neuysms ,congenital diseases and other diseases. Results There was significant difference in left ventricular end-diastolic vol-ume and end-systolic volume during operation,especially between group of valvular diseases and group of coronary diseases(P＜0. 01) and between the group of valvular diseases and aneurysm group. Left ventricular eject fraction was 0. 52±0. 07 inthe group of valvular diseases,0. 55±0. 08 in the group of coronary diseases,0. 56±0. 07 in the group of aneurysm,0. 57±0. 07 in the group of congenital diseases and 0. 57 ± 0. 08 in the group of other diseases. Conclusion The results of cardiacfunction in the operative transesophageal echocardiography might further perfect the content of valuation in cardiac functionduring operation.