专业讲座：TEE用于低血压急症(国外)
http://player.youku.com/player.php/sid/XNDM1MTEwOTE2==.html美国斯坦福大学医学院心血管麻醉医师Daryl Oakes,MD的专题讲座，推荐。播放密码：xqnmz.com
经食道超声对于围术期诊断低血容量休克作用太大了，有这么一利器？下面就我听到的给同行作一翻译，也请懂得超声的同行对不足之处作出修改。 good morning
TEE(trans esophageal cardiagram) for hypotension
objective
this lecture is to develop a safe,systematic approach to using TEE in the setting of hypotension emergency.
to understand basic view useful in evaluating an acutely hypotension patient.
to understand TEE findings charatristic of specefic cause of acute perioperative hypotension.
and to have an awareness of the pitfall that may interfer with making a accurate diagnosis.
早上好：
经食道超声用于低血压。
这个讲坐是讲经食道超声用于急诊低血压，食道心脏超声提供了一种安全，综合的方法用于低血压的原因诊断。
讲述最基础的用于低血压原因的超声影象。
让读者理解不同原因的低血压时，经食道心脏超声的特点。
同时也应明白，心脏超声也有一定的缺点，伪像的影响可能会造成误诊。 good morning
TEE(trans esophageal echocardiagram) for hypotension
objective
this lecture is to develop a safe,systematic approach to using TEE in the setting of hypotension emergency.
to understand basic view useful in evaluating an acutely hypotension patient.
to understand TEE findings charatristic of specefic cause of acute perioperative hypotension.
and to have an awareness of the pitfall that may interfer with making a accurate diagnosis.
早上好：
经食道超声用于低血压。
这个讲坐是讲经食道超声用于急诊低血压，食道心脏超声提供了一种安全，综合的方法用于低血压的原因诊断。
讲述最基础的用于低血压原因的超声影象。
让读者理解不同原因的低血压时，经食道心脏超声的特点。
同时也应明白，心脏超声也有一定的缺点，伪像的影响可能会造成误诊。
in this lecture ,we will cover basic approach to evaluation of hypotension patient and echocardicgraphic evaluation of different cause of hypotesion including TEE views that best visualise this etiology ;TEE findings are assiociation with each cause of hypotension and caveats that may interfere with making a correct diagnosis ,then we will review the images of each findings.
we will start with the case .you are on-called and you are called to assist your colleague who is caringfor a 50 years old female undergoing laparoscopic cholesystectomy(腹腔镜胆囊切除术），patients post month history is signifigant fo hypertension and obesity and blood pressure is sixty over forty ,neosynephine(新褔林）was given to have little effect.there is a TEE machine and probe sitting in the corner of the room.
这个讲座中，我将介绍最基本的用TEE来诊断低血压的方法以及评估引起低血压的不同原因。包括：最有利于诊断低血压病因的窗口;TEE所见与低血压的关糸；伪影对于诊断的影响。随后我们将复习在TEE上的发现。
现在我们开始讨论一个病历。如果是你你将会如何处理，假如你在值班，一个电话过来，让你去协助你的同事处理下面这个病历。50岁的女性患者，正在行腹腔镜胆囊摘除术，既往历高血压，肥胖。现在血压60/40,已经给与了新褔林，但收效不佳。手术室有TEE及其所用探头。 没有下文了吗？求指导交流啊 个人觉得这个视频讲的比较浅显易懂，但图的质量不是很好，其实有很多简化定量指标来评估左右心功能、容量负荷的。我觉得讲者可能是从急诊fasting exam那条思路去诊断病人的，而且似乎该患者倾向于急性肺高压，右心功能不全的诊断，不知为何没有讨论下去。
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