Thompson A E
Division of Pediatric Critical Care Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh, PA 15213, USA.
New Horiz. 1997 Aug;5(3):244-50.
To review the literature addressing use of the pulmonary artery catheter (PAC) in pediatric patients.
All pertinent English language articles dealing with the use of pulmonary artery catheterization in pediatric patients were retrieved from 1979 through 1996.
Articles were chosen for review if the use of pulmonary artery catheterization in pediatric patients was studied or reviewed.
From the articles selected, information was obtained about changes in diagnosis, therapy and outcome associated with PAC use in pediatric patients.
The available literature suggests substantial value from the information made available by use of the PAC in a small group of critically ill infants and children.
Until there is substantive evidence in children that outcome is negatively affected by their use, PACs should remain available. Experienced physicians should directly supervise PAC insertion and use.
回顾关于小儿患者使用肺动脉导管（PAC）的文献。
检索1979年至1996年所有涉及小儿患者使用肺动脉导管插入术的相关英文文章。
若文章对小儿患者使用肺动脉导管插入术进行了研究或综述，则选择其进行回顾。
从所选文章中获取有关小儿患者使用PAC后诊断、治疗及预后变化的信息。
现有文献表明，在一小部分危重症婴幼儿和儿童中，使用PAC所获得的信息具有重要价值。
在儿童中尚无确凿证据表明使用PAC会对预后产生负面影响之前，应继续提供PAC。经验丰富的医生应直接监督PAC的插入和使用。
