Meissner A, Herrmann G, Sievers H H, Nellessen U, Simon R
Abteilung Spezielle Kardiologie, Christian-Albrechts-Universität zu Kiel.
Z Kardiol. 1990 Aug;79(8):586-91.
Rupture of the ventricular septum is a rare complication of acute myocardial infarction. Time of diagnosis, hemodynamic condition, as well as duration and effectiveness of the preoperative treatment determine the clinical outcome after surgical repair. Since its introduction the bedside-applied Swan-Ganz catheter has maintained an important role for the rapid confirmation and quantitation of the infarct-induced ventricular septal rupture. We report on the clinical courses of two patients whose diagnoses were established by means of a fiberoptic-armed Swan-Ganz catheter. Accuracy of the measured oxygen saturation was controlled by in vitro gas analyses with heparinized blood samples. As compared to conventional methods the continuous in vivo oximetry by a fiber-optic system is a simple procedure which facilitates repeated shunt calculations during hemodynamic monitoring in critically ill patients.
室间隔破裂是急性心肌梗死的一种罕见并发症。诊断时间、血流动力学状况以及术前治疗的持续时间和效果决定了手术修复后的临床结果。自引入以来，床边应用的 Swan-Ganz 导管在快速确认和定量梗死所致室间隔破裂方面一直发挥着重要作用。我们报告了两名患者的临床病程，他们的诊断是通过带有光纤的 Swan-Ganz 导管确定的。通过对肝素化血样进行体外气体分析来控制所测血氧饱和度的准确性。与传统方法相比，光纤系统进行的连续体内血氧测定是一种简单的操作，有助于在重症患者的血流动力学监测期间反复进行分流计算。
