German J C, Bartlett R H, Gazzaniga A B, Huxtable R F, Amlie R, Sperling D R
J Pediatr Surg. 1977 Dec;12(6):913-9. doi: 10.1016/0022-3468(77)90601-7.
The use of the Swan-Ganz catheter to monitor pulmonary artery pressure in adults with cardiopulmonary failure has become commonplace. Our meager experience was with four neonates diagnosed as having persistent fetal circulation monitored by the use of this PA catheter. Tolazoline was infused directly into the pulmonary circulation via the catheter. Pulmonary artery pressure was temporarily reduced by tolazoline administration, with a marked increase in PaO2. More experience is required to define the role of the Swan-Ganz catheter in neonatal physiologic monitoring.
使用 Swan-Ganz 导管监测心肺功能衰竭成人的肺动脉压力已很常见。我们仅有过四次使用该肺动脉导管监测诊断为持续性胎儿循环的新生儿的经历。妥拉唑啉通过导管直接注入肺循环。给予妥拉唑啉后肺动脉压力暂时降低，同时动脉血氧分压显著升高。需要更多经验来明确 Swan-Ganz 导管在新生儿生理监测中的作用。
