Chastre J, Cornud F, Bouchama A, Viau F, Benacerraf R, Gibert C
Presse Med. 1983 May 7;12(20):1275-8.
Twenty-two adult patients who had required catheterization with a Swan-Ganz catheter and had thrombosis of the internal jugular vein were investigated for pulmonary embolism. In 4 of these, pulmonary embolism was detected by angiography, and 2 patients who died with the catheter in situ had also pulmonary embolism. In 5 out of these 6 patients prophylactic heparin treatment failed to prevent this complication. This study suggests that the Swan-Ganz catheter placement is indicated only when the value of the information to be gained exceeds the potential risk.
对22例曾使用Swan-Ganz导管进行插管且发生颈内静脉血栓形成的成年患者进行了肺栓塞调查。其中4例通过血管造影检测到肺栓塞，2例导管留置原位死亡的患者也有肺栓塞。在这6例患者中，有5例预防性肝素治疗未能预防这一并发症。本研究表明，仅当获得的信息价值超过潜在风险时，才建议放置Swan-Ganz导管。
