Dye L E, Shin M S, Witten D M, Russell R O, Rackley C E, Hogg D E
Chest. 1978 Feb;73(2):179-82. doi: 10.1378/chest.73.2.179.
From 1972 to 1975, we have observed seven patients with localized pulmonary consolidation distal to the tip of a Swan-Ganz catheter. These seven instances occurred in a population of over 300 patients receiving a hypertonic solution of glucose, insulin, and potassium for acute myocardial infarction. In four patients the glucose-insulin-potassium solution was instilled directly into the right pulmonary artery from the tip of the Swan-Ganz catheter. In the subsequent three patients the solution was administered via the right atrial port and thus perfused the entire pulmonary vascular bed. The roentgenographic appearance of this localized pulmonary consolidation is indistinguishable from infarction caused by pulmonary thromboembolus or wedging of the catheter.
1972年至1975年期间，我们观察到7例患者在 Swan-Ganz 导管尖端远端出现局限性肺实变。这7例病例出现在300多名因急性心肌梗死接受葡萄糖、胰岛素和钾的高渗溶液治疗的患者中。4例患者中，葡萄糖-胰岛素-钾溶液从 Swan-Ganz 导管尖端直接注入右肺动脉。在随后的3例患者中，溶液通过右心房端口给药，从而灌注整个肺血管床。这种局限性肺实变的X线表现与肺血栓栓塞或导管楔入引起的梗死无法区分。
