“贴心”更“知心”，阜阳市二院成功开展经食道超声心动图检查-阜阳在线-阜阳在线论坛阜阳综合门户

网站小七 发表于 2025-7-2 15:24

“贴心”更“知心”，阜阳市二院成功开展经食道超声心动图检查

<style type="text/css">html{font-size:375%}</style><link href="https://pic.app.fy169.net/frontend/web/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/frontend/web/static/publish/css/style.css?v=20240712"> <div class="preview_article ">  <section class="empty_paragraph" style="text-align: center;"></section><section><img class="rich_pages wxw-img __bg_gif" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; vertical-align: bottom; height: auto !important; color: #222222; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.544px; orphans: 2; text-align: justify; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial; visibility: visible !important; width: 677px !important;" src="https://pic.app.fy169.net/FnlK-idNBok4Yuraeg6oW1SpLTf-" /></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: #222222; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.544px; orphans: 2; text-align: justify; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial; background-image: url('https://pic.app.fy169.net/FnEQCfdb6FAHO3fSpkHCzIccCrFS'); visibility: visible;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em; visibility: visible;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: flex; justify-content: center; align-items: center; width: 677px; visibility: visible;"><section style="margin: 0px; padding: 0px 8px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: flex; justify-content: flex-start; align-items: center; flex-direction: column; width: 677px; visibility: visible;"><section style="margin: 0px; padding: 12px 7px 18px 15px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 661px; text-align: left; background: #ffffff; visibility: visible; border: 1px solid #df8567;">2025年6月24日，阜阳市第二人民医院超声科成功为一名房颤射频消融术前患者实施了经食道超声心动图（TEE）检查，精准评估了患者左心耳血栓情况，为手术方案的制定提供了重要依据。这一技术的成功开展，标志着该院在心血管疾病超声诊断领域迈上新台阶，实现了从“贴心”到“知心”的跨越，为复杂心脏疾病的诊疗提供了更清晰、更可靠的影像学支持。 经食道超声心动图（TEE）是一种将超声探头经食道置入心脏后方的先进检查技术。与传统的经胸超声（TTE）相比，TEE避开了胸壁、肺气等干扰，直接贴近心脏进行成像，能够获取更高分辨率的图像，提高对心血管疾病诊断的敏感性和可靠性，尤其适用于常规超声难以诊断的复杂病例。 <section style="text-align: center;"><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/FjTc_xOTzAveNB-XM98HdZWFPFRE" /></section>  哪些患者可以做TEE： 1.对于心律失常房颤、房扑、房速等患者，能帮助探查左心耳及心房有无血栓形成，做好射频消融术前评估。 2.先天性心脏病，如：房间隔缺损、卵圆孔未闭等，常规经胸超声声窗差，不易准确诊断的病例，对于经胸超声不能明确房间隔缺损残端大小，或多发房间隔缺损患者，行TEE检查，可明确是否存在封堵适应证，并为封堵器大小的选择提供参考。 3.心脏瓣膜病：如瓣膜狭窄、关闭不全、脱垂等，心脏瓣膜置换术后，TEE超声图像优于TTE，可对人工瓣膜功能结构及功能准确评价，如有无人工瓣膜的狭窄、卡瓣、瓣周漏、感染性病变、血栓、血管翳等并发症。 4.感染性心内膜炎，如有无赘生物形成、穿孔、腱索断裂、瓣周脓肿等。 5.应用于心脏手术及非心脏手术的术中监测、术后即刻评估等。如超声引导下房间隔封堵术，TAVR、TEER等。 哪些患者不能做TEE： 1.先天性或获得性的上消化道疾病：如活动性上消化道出血、食管梗阻或狭窄、食管占位性病变、食管撕裂和穿孔、食管憩室、食管裂孔疝、先天性食管畸形、近期食管手术史、食管静脉曲张、咽部占位性病变、咽部脓肿。 2.严重心血管系统或全身疾病：如严重心力衰竭、严重心律失常、急性心肌梗死、不稳定性心绞痛、重度高血压、低血压或休克状态等。 3.患者有凝血疾病、颈部及纵隔放疗史，麻醉剂过敏等。 TEE检查前后有哪些注意事项： 1.检查前需完善相关实验室检查：如血常规、凝血功能、感染筛查等；并排除相关禁忌症。 2.检查前禁食6-8小时，以保证胃内容物排空，并消除口腔内活动性假牙等，以防止异物脱落误入气道造成窒息。 3..检查前须仔细阅读并签署经食管超声心动图知情同意书。 4.检查结束后2小时内不能吃东西和喝水，2小时后可以适当吃温凉半流质食物。 5.检查后喉咙可能会有些许不适，注意不要用力咳嗽，以免损伤粘膜。 温馨提示： 需预约检查的患者可前往阜阳市第二人民医院超声科咨询，或拨打预约电话：0558-2563941。 市第二人民医院此次引进的TEE技术结合实时三维成像，可多角度、立体化呈现心脏结构，为临床医生提供更全面的决策依据。超声科团队表示，未来将依托这一技术，进一步优化心血管疾病和脑卒中患者的诊疗流程，为皖北地区群众提供更优质的医疗服务。</section><section style="margin: -24.1px 0px 0px; 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“贴心”更“知心”，阜阳市二院成功开展经食道超声心动图检查