CAJ | 학술논문

目的：评价经食管超声心动图（transesophageal echocardiography，TEE）在诊治危重心脏瓣膜病术后低心排综合征中的价值。方法：回顾分析16例术后发生低心排综合征的危重心脏瓣膜病患者的术前资料和术后低心排综合征的诊治情况。结果：16例中经 TEE 检查后需行主动脉内球囊反搏术（intra-aortic balloon pump，IABP）的患者9例，其中7例恢复良好，无IABP 相关并发症；2例病死；经 TEE 检查无需行 IABP 的患者7例，其中再次开胸探查 2例，其余5例应用血管活性药物及改善内环境后好转。结论：TEE 可用于鉴别诊断危重心脏瓣膜病术后低心排综合征的病因，并为 IABP 的合理应用提供依据，具有较高的应用价值。
목적：평개경식관초성심동도（transesophageal echocardiography，TEE）재진치위중심장판막병술후저심배종합정중적개치。방법：회고분석16례술후발생저심배종합정적위중심장판막병환자적술전자료화술후저심배종합정적진치정황。결과：16례중경 TEE 검사후수행주동맥내구낭반박술（intra-aortic balloon pump，IABP）적환자9례，기중7례회복량호，무IABP 상관병발증；2례병사；경 TEE 검사무수행 IABP 적환자7례，기중재차개흉탐사 2례，기여5례응용혈관활성약물급개선내배경후호전。결론：TEE 가용우감별진단위중심장판막병술후저심배종합정적병인，병위 IABP 적합리응용제공의거，구유교고적응용개치。
Objective:To evaluate the value of transesophageal echocardiography(TEE)in postoperative low cardiac output syndrome of critical cardiac valvular disease.Methods:The preoperative data of 16 patients with critical cardiac valvular disease who suffered from postoperative low cardiac output syndrome,as well as the postoperative treatment of them,was retrospec-tively analyzed.Results:Among the 16 patients,9 cases underwent intra-aortic balloon pump(IABP)support suggested by TEE.And 7 of the 9 patients recovered without complications,while the other 2 patients died.IABP were not suggested by TEE in 7 patients,2 of whom underwent exploratory thoractomy,while the other 5 patients recovered after adjustment of vas-opressor agents and improvement of internal environment.Conclusions:TEE can be used in the differentiation of the cause of postoperative low cardiac output syndrome in patients with critical cardiac valvular disease and it can provides the basis for the reasonable application of IABP.