Shammaa M Louai, Hassan Mohamed, Bittar M Nidal
Blackpool Victoria Hospital, Apartment 4, Tideswell House, 2 Tideswell Court, Sheffield, S5 6JH, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.11.2008.1233. Epub 2009 Jul 14.
Since its introduction three decades ago, the pulmonary artery (PA) catheter has brought insights into pathophysiology of many diseases enabling intensivists to treat critical conditions much more precisely and securely. PA indications are widening, and those working in an intensive care environment feel more secure in handling critical conditions with objective data. However, PA-induced pulmonary haemorrhage is a well-recognised, uncommon, yet potentially lethal, complication of PA catheter. We report a case with PA haemorrhage induced by placement of the PA catheter during coronary artery bypass surgery. A contrast-enhanced CT scan of the chest confirmed spontaneous remission of the haemorrhage after 7 weeks of the injury without the need for any intervention.
自三十年前肺动脉（PA）导管问世以来，它使人们对多种疾病的病理生理学有了深入了解，使重症监护医生能够更精确、更安全地治疗危急病症。PA导管的适应症在不断扩大，在重症监护环境中工作的人员借助客观数据处理危急情况时更有信心。然而，PA导管导致的肺出血是一种已被充分认识的、不常见但可能致命的并发症。我们报告一例在冠状动脉搭桥手术期间放置PA导管引发肺出血的病例。胸部增强CT扫描证实，损伤7周后出血自行缓解，无需任何干预。
