肺动脉导管：批判性再评价。

The pulmonary artery catheter: a critical reappraisal.

机构信息

Cardiac Critical Care, Zena and Michael A. Weiner Cardiovascular Institute, Mount Sinai Hospital, One Gustave Levy Place, New York, NY 10029, USA; Cardiology, Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, New York, NY 10029, USA.

出版信息

Cardiol Clin. 2013 Nov;31(4):545-65, viii. doi: 10.1016/j.ccl.2013.07.008.

DOI:10.1016/j.ccl.2013.07.008

PMID:24188220

Abstract

Balloon floatation pulmonary artery catheters (PACs) have been used for hemodynamic monitoring in cardiac, medical, and surgical intensive care units since the 1970s. With the availability of newer noninvasive diagnostic modalities, particularly echocardiography, the frequency of diagnostic pulmonary artery catheterization has declined. In this review, the evolution of PACs, the results of nonrandomized and randomized studies in various clinical conditions, the uses and abuses of bedside hemodynamic monitoring, and current indications for pulmonary artery catheterization are discussed.

摘要

球囊漂浮肺动脉导管（PAC）自 20 世纪 70 年代以来一直用于心脏、内科和外科重症监护病房的血流动力学监测。随着新型非侵入性诊断方式，特别是超声心动图的出现，诊断性肺动脉导管插入术的频率有所下降。在这篇综述中，我们讨论了 PAC 的发展演变，各种临床情况下的非随机和随机研究结果，床边血流动力学监测的使用和滥用，以及目前肺动脉导管插入术的适应证。