Unger K M, Shibel E M, Moser K M
Chest. 1975 Jan;67(1):8-13. doi: 10.1378/chest.67.1.8.
Fourteen patients with adult respiratory distress syndrome were admitted to the medical intensive care unit and received bedside heart catheterization with the use of a balloon-tipped, flow directed catheter. Four of the 14 (29 percent) were found to have left ventricular failure (LVF), defined as a pulmonary artery wedge pressure greater than 12 mm Hg. Analysis of the standard clinical and laboratory data demonstrated no criteria which could differentiate those patients with LVF from those without. Three of the four patients indentified as having LVF responded to therapy directed toward LVF with substantial clinical improvement.
14名患有成人呼吸窘迫综合征的患者被收治入内科重症监护病房,并使用带球囊尖端的血流导向导管进行床边心脏导管插入术。14名患者中有4名(29%)被发现患有左心室衰竭(LVF),定义为肺动脉楔压大于12毫米汞柱。对标准临床和实验室数据的分析表明,没有任何标准可以区分有LVF的患者和没有LVF的患者。确定为患有LVF的4名患者中有3名对针对LVF的治疗有反应,临床症状有显著改善。