Reber D, Aebert H, Pfeifer M, Keyl C, Birnbaum D E
Department of Cardiothoracic Surgery, University Hospital, Regensburg, Germany.
Panminerva Med. 1996 Dec;38(4):259-61.
A case of pulmonary artery rupture due to Swan-Ganz catheterization is reported. A 73-year old women undergoing coronary artery bypass grafting developed massive endotracheal bleeding during weaning from the cardiopulmonary bypass and inflation of the balloon of the Swan-Ganz catheter. As bleeding could not be controlled by endobronchial Fogerty catheter blockade, resection of the lateral segment of the middle lobe was necessary before bypass could be terminated. The postoperative course was complicated by an abscess formation in the right middle lobe of the lung which required operative revision.
报道了一例因使用 Swan-Ganz 导管导致肺动脉破裂的病例。一名 73 岁女性在接受冠状动脉旁路移植术时，在脱离体外循环和 Swan-Ganz 导管球囊充气过程中出现大量气管内出血。由于支气管内 Fogerty 导管封堵无法控制出血，在终止体外循环前有必要切除中叶外侧段。术后病程因右肺中叶形成脓肿而复杂化，需要进行手术修正。
