K THUT SIU M TIM

MC TIU
- Nm vng cc mt ct c bn ca
siu m tim.
- Nm vng cc k thut siu m c
bn (2D- TM- Doppler)
- Nm vng v ng dng thnh tho
cc k thut doppler
- Thc hnh c cc bc ca siu
m tim bnh thng.

Cac ky thuat sieu

am tim
- SAT qua thnh ngc
- SAT qua thc qun
- SAT cn quang
- SAT trong lng mch mu
- SAT trong lng mch vnh
- SAT thai nhi
- SAT 3 chiu

K thut siu m tim

- Siu m mt chiu TM (Time mition)
- Siu m hai chiu 2D
(Two- Dimension)
- Siu m Doppler :
Doppler xung
Doppler lin tc
Doppler mu

Siu m kiu TM
- ngang van ng mch ch
- ti van 2 l
- ngang tht tri di b t do van
2 l

- Vn ng van 2
l k tm thu v
tm trng
- Thng s:
DE: 17-30mm
EF: 70-150mm/s
EE: 30-55mm
E vch: 4-8mm

Siu m kiu 2D
4 nhm mt ct c bn :
- cnh c tri
- t mm
- di sn (hoc di mi c)
- trn hm c.

Mt ct cnh c theo trc dc:

Mt ct cnh c theo trc ngang:
Ngang mc van 2 l .
Ngang mc van ng mch ch
Ngang mc 2 ct c .
Mt ct t mm tim :
4 bung
5 bung
3 bung
2 bung

Mt ct di sn
Trc dc ( 4 bung)
Trc ngang.
Mt ct trn hm c
Trc dc Trc ngang.

Siu m Doppler
1.Phn tch biu hin doppler,da vo:
- hnh dng dng chy
- m thanh
2.K thut ghi:
- doppler xung
- doppler lin tc
- doppler mu

Dng chy qua van 2 l

- s dng mt ct 4 bung t mm
- ca s doppler xung gia nh ca 2
l van k tm trng
- sng E v sng A
- t l E/A > 1
- vn tc sng E = 0.9 m/s ( 0,61,3m/s )

Dng chy qua van M ch

- s dng doppler lin tc
- mt ct 5 bung t mm
- ph tm thu c vn tc
v= 1,35 m/s ( 1- 1,7m/s )

Dng chy qua van m phi

- mt ct cnh c ngang ng mch
ch tp trung vo ng ra ng
mch phi.
- ph tm thu c vn tc v= 0,6 0,9m/s

- Doppler mu qua
van MP
- H van MP mc
nh - trung
bnh- nng.

Dng chy qua van 3 l

- s dng mt ct cnh c tri thp,
4 bung mm hoc 4 bung di
sn (trong 1 s trng hp)
- b nh hng bi h hp
- sng E bnh thng v= 0,3- 0,7 m/s

- Doppler mu qua
van 3 l
- H van 3 l

ng dng ca doppler (1)

- nh gi mc hp van tim:
+ chnh p lc qua van:
phng trnh Bernoulli gin lc
P= 4V
+ phng trnh lin tc:
S1 V1 = S2 V2
- o din tch m van : S= 220/PHT

ng dng ca doppler (2)

- pht hin v nh lng nng ca
h van
- nh gi p lc ng mch phi
- pht hin cc lung thng trong tim
- o cung lng tim cc van khc
nhau:
CLT= VTI DT tn s tim
- theo di hot ng cc van nhn to