Taylor B C, Sheffer D B
University of Akron, Ohio.
Biomed Instrum Technol. 1990 May-Jun;24(3):188-97.
In summary, use of thermodilution as a method to measure cardiac output has attained universal appeal in the clinical environment. Other means of detecting cardiac output (impedance-cardiogram and ballistocardiogram, to name two) have been developed and are being used clinically, but the development of the flow-directed thermodilution catheter has profoundly affected the universal acceptance of the thermodilution method. Thermodilution techniques, when performed properly, are capable of obtaining accurate and reproducible results. Medical and nursing personnel who are educated in proper procedures will be able to make educated choices when faced with difficult decisions. It is likely that they will turn to the biomedical or clinical engineering department for help if those personnel are well informed regarding the techniques and procedures.
总之,热稀释法作为一种测量心输出量的方法在临床环境中已获得广泛应用。其他检测心输出量的方法(如阻抗心动图和心冲击图,仅举两例)也已得到开发并正在临床中使用,但血流导向热稀释导管的发展深刻影响了热稀释法的普遍接受度。热稀释技术如果操作得当,能够获得准确且可重复的结果。接受过正确程序培训的医护人员在面临艰难决策时将能够做出明智的选择。如果生物医学或临床工程部门的人员对这些技术和程序有充分了解,他们很可能会向其寻求帮助。