Lee Matthew, Curley Gerard F, Mustard Mary, Mazer C David
Departments of Anesthesia and Critical Care, Keenan Research Centre for Biomedical Science and Li Ka Shing Knowledge Institute of St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Departments of Anesthesia and Critical Care, Keenan Research Centre for Biomedical Science and Li Ka Shing Knowledge Institute of St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Can J Cardiol. 2017 Jan;33(1):142-147. doi: 10.1016/j.cjca.2016.10.026. Epub 2016 Nov 2.
Few inventions in modern medicine have generated as passionate and extended debate as the pulmonary artery catheter (PAC). Since its introduction in 1970, the PAC remains an indispensable monitor in cardiovascular critical care. Despite attempts to develop less invasive alternatives, the PAC remains unequaled as a single monitoring device capable of measuring physiological derangement in most components of the circulation, in the awake or sedated patient, with real-time feedback on the efficacy of an intervention. In reviewing the literature, we contend that the PAC remains the "gold standard" for hemodynamic monitoring of critically ill cardiac patients.
现代医学中，很少有发明像肺动脉导管（PAC）那样引发如此热烈且持久的争论。自1970年问世以来，PAC仍是心血管重症监护中不可或缺的监测设备。尽管人们试图开发侵入性较小的替代设备，但作为一种能够测量清醒或镇静患者循环系统大多数组成部分生理紊乱情况，并能对干预效果提供实时反馈的单一监测设备，PAC的地位仍无可匹敌。在回顾相关文献时，我们认为PAC仍是危重心血管疾病患者血流动力学监测的“金标准”。
