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[重症监护病房中的血流动力学监测：肺动脉导管与脉搏指示连续心输出量监测法]

[Hemodynamic monitoring in the intensive care unit: pulmonary artery catheter versus PiCCO].

作者信息

Gassanov N, Caglayan E, Nia A, Erdmann E, Er F

机构信息

Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln.

出版信息

Dtsch Med Wochenschr. 2011 Feb;136(8):376-80. doi: 10.1055/s-0031-1272539. Epub 2011 Feb 17.

DOI:10.1055/s-0031-1272539
PMID:21332037
Abstract

Hemodynamic monitoring is essential in the diagnosis and management of critically ill patients. Cardiac output represents a major monitoring parameter. There are a number of methods for measurement of cardiac output with various invasive capacities and functional reliability. Thermodilution pulmonary artery catheter and pulse contour analysis by PiCCO are widely used techniques to measure cardiac output in intensive care unit. This review describes the basic principles, limitations and complications of both monitoring tools.

摘要

血流动力学监测在危重症患者的诊断和管理中至关重要。心输出量是一项主要的监测参数。有多种测量心输出量的方法，其侵入性和功能可靠性各不相同。热稀释肺动脉导管和脉搏指示连续心输出量（PiCCO）技术进行的脉搏轮廓分析是重症监护病房中广泛用于测量心输出量的技术。本文综述了这两种监测工具的基本原理、局限性和并发症。

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