Clark S L, Cotton D B
Utah Valley Regional Medical Center, Provo 84604.
Am J Obstet Gynecol. 1988 Mar;158(3 Pt 1):453-8. doi: 10.1016/0002-9378(88)90003-8.
The obstetric literature reflects an increased interest in invasive hemodynamic monitoring during the past decade. While much of this interest has focused on research applications, the patient with severe preeclampsia may benefit clinically from pulmonary artery catheterization under several circumstances. These conditions include severe hypertension unresponsive to conventional antihypertensive therapy, pulmonary edema, persistent oliguria unresponsive to fluid challenge, and in induction of conduction anesthesia in select patients. Theoretical and clinical evidence to support this contention is presented.
产科文献表明，在过去十年中，人们对有创血流动力学监测的兴趣有所增加。虽然这种兴趣大多集中在研究应用方面，但在几种情况下，重度子痫前期患者可能会从肺动脉导管插入术中获得临床益处。这些情况包括对传统抗高血压治疗无反应的严重高血压、肺水肿、对液体冲击无反应的持续性少尿，以及在特定患者中诱导传导麻醉。本文提供了支持这一论点的理论和临床证据。
