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使用血流动力学波形评估心肺疾病。

Using hemodynamic waveforms to assess cardiopulmonary pathologies.

作者信息

Schriner D K

出版信息

Crit Care Nurs Clin North Am. 1989 Sep;1(3):563-75.

PMID:2818892
Abstract

The pulmonary artery catheter brought measurement of hemodynamic parameters to the bedside in the early 1970s. The critical care clinician has been able to obtain direct and derived parameters that have proved useful in the diagnosis, management, and evaluation in various clinical conditions. The evaluation of the mechanical events in the heart, as evidenced through accurate interpretation of waveform configuration, has enhanced the diagnostic ability of the clinician. A wide variety of cardiopulmonary conditions can be recognized, including valvular defects, shunts, electrical disturbances and others, which allow the clinician to optimize hemodynamic function and impact patient survival.

摘要

肺动脉导管在20世纪70年代初将血流动力学参数测量带到了床边。重症监护临床医生能够获得直接和派生的参数,这些参数已被证明在各种临床情况下的诊断、管理和评估中很有用。通过对波形形态的准确解读所证实的对心脏机械事件的评估,增强了临床医生的诊断能力。可以识别出各种各样的心肺疾病,包括瓣膜缺陷、分流、电紊乱等,这使临床医生能够优化血流动力学功能并影响患者的生存。

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