目的比较模拟器和传统教学方式在经胸超声心动图(TTE)采集技能培训中的效果差异。方法选取30名2020-07-01—2021-04-30在北京协和医院心内科超声心动图室轮转学习的医师,随机分为传统培训组和模拟器培训组,培训后每人独立完成1例TTE采...目的比较模拟器和传统教学方式在经胸超声心动图(TTE)采集技能培训中的效果差异。方法选取30名2020-07-01—2021-04-30在北京协和医院心内科超声心动图室轮转学习的医师,随机分为传统培训组和模拟器培训组,培训后每人独立完成1例TTE采集操作,比较两组总操作时间和超声心动图切面采集质量的差异。结果模拟器培训组完成1例TTE采集操作总时长显著短于传统培训组[(471±66)s vs(530±60)s](P<0.05)。模拟器培训组切面采集质量总评分显著高于传统培训组(42.7±2.5 vs 38.7±3.0,P<0.01),其中胸骨旁主动脉瓣短轴切面(3.9±0.9 vs 3.2±0.4,P<0.05)、心尖两腔心切面(4.0±0.8 vs 3.2±0.9,P<0.05)和胸骨上窝切面(3.8±0.8 vs 2.6±1.1,P<0.01)组间评分有显著性差异(P<0.05或P<0.01)。模拟器培训组学员满意度显著高于传统培训组(P<0.05)。结论模拟器培训有助于更高效掌握TTE图像获取技术,值得在医师技能培训中推广应用。展开更多
Despite considerable published papers regarding Ebstein＇s anomaly （EA） patients receiving open-heart tricuspid valve replacement, non-cardiac emergency surgeries were rarely reported. We report a case of emergency ...Despite considerable published papers regarding Ebstein＇s anomaly （EA） patients receiving open-heart tricuspid valve replacement, non-cardiac emergency surgeries were rarely reported. We report a case of emergency decormpressive craniotormy in a patient with EA. Anesthesiologists should pay special attention to the complications and anesthetic management during the non-cardiac surgeries performed in EA patients.hile papers regarding Ebstein＇s anomaly （EA）patients receiving open-heart tricuspid valve replacement are numerous, the reports of non-cardiac emergency surgeries have not been to the same degree.We report a case of emergency decompressive craniotomy in a patient with EA. This case report describes the symptoms and anesthetic management during the surgery.展开更多
Glycogen storage disease type Ili （GSD-Ⅲ） is an autosomal recessive inherited metabolic disorder caused by a deficiency in the gllycogen debranching enzyme （amylo- 1,6-glucosidase）. The disease is characterized ...Glycogen storage disease type Ili （GSD-Ⅲ） is an autosomal recessive inherited metabolic disorder caused by a deficiency in the gllycogen debranching enzyme （amylo- 1,6-glucosidase）. The disease is characterized by hepatomegaly, lasting hypoglycemia,growth retardation, and progressive myopathy.＇ It can also cause cardiomyopathy.＇4 We report a rare case of GSD-III with metabolic cardiomyopathy mimicking obstructive hypertrophic cardiomyopathy,展开更多
文摘目的比较模拟器和传统教学方式在经胸超声心动图(TTE)采集技能培训中的效果差异。方法选取30名2020-07-01—2021-04-30在北京协和医院心内科超声心动图室轮转学习的医师,随机分为传统培训组和模拟器培训组,培训后每人独立完成1例TTE采集操作,比较两组总操作时间和超声心动图切面采集质量的差异。结果模拟器培训组完成1例TTE采集操作总时长显著短于传统培训组[(471±66)s vs(530±60)s](P<0.05)。模拟器培训组切面采集质量总评分显著高于传统培训组(42.7±2.5 vs 38.7±3.0,P<0.01),其中胸骨旁主动脉瓣短轴切面(3.9±0.9 vs 3.2±0.4,P<0.05)、心尖两腔心切面(4.0±0.8 vs 3.2±0.9,P<0.05)和胸骨上窝切面(3.8±0.8 vs 2.6±1.1,P<0.01)组间评分有显著性差异(P<0.05或P<0.01)。模拟器培训组学员满意度显著高于传统培训组(P<0.05)。结论模拟器培训有助于更高效掌握TTE图像获取技术,值得在医师技能培训中推广应用。
文摘Despite considerable published papers regarding Ebstein＇s anomaly （EA） patients receiving open-heart tricuspid valve replacement, non-cardiac emergency surgeries were rarely reported. We report a case of emergency decormpressive craniotormy in a patient with EA. Anesthesiologists should pay special attention to the complications and anesthetic management during the non-cardiac surgeries performed in EA patients.hile papers regarding Ebstein＇s anomaly （EA）patients receiving open-heart tricuspid valve replacement are numerous, the reports of non-cardiac emergency surgeries have not been to the same degree.We report a case of emergency decompressive craniotomy in a patient with EA. This case report describes the symptoms and anesthetic management during the surgery.
文摘Glycogen storage disease type Ili （GSD-Ⅲ） is an autosomal recessive inherited metabolic disorder caused by a deficiency in the gllycogen debranching enzyme （amylo- 1,6-glucosidase）. The disease is characterized by hepatomegaly, lasting hypoglycemia,growth retardation, and progressive myopathy.＇ It can also cause cardiomyopathy.＇4 We report a rare case of GSD-III with metabolic cardiomyopathy mimicking obstructive hypertrophic cardiomyopathy,
