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Swan-Ganz导管的血液动力学监测在重症心血管手术的价值
Application of Swan-Ganz catheter for major cardiovascular operation
【摘要】 1984年11月至1985年6月我们在麻醉中为9例重症病人做了10次Swan-Ganz导管监测,对准确了解病人的心血管功能,及时正确地进行处理很有帮助。本文介绍使用扩张器经皮穿刺放置Swan-Ganz导管的方法及使用Swan-Ganz导管的初步体会。
【Abstract】 Swan-Ganz catheter is a new device for monitoring cardiovascular function. From November 1984 to June 1985, we had performed 10 Swan-Ganz catheterizations for 9 serious patients who underwent cardiac surgery. The catheters were all successfully inserted percutaneously via internal jugular vein except for one case whose heart was horizontally placed.In this paper, authors introduce mainly the method to insert the catheter via internal jugular vein percutaneously, the structure of the fourlumen Swan-Ganz catheter, operative procedure and points for attention are discussed. In this group, all patients’ CVP, PAP, and PCWP were monitored; and in three of thein CO, CI, SVR, PVR, and other parameters were measured. According to these parameters we could ascertain patient’s condition more exactly, and give them correct and prompt treatment during and after operation.
- 【文献出处】 北京医学 ,Beijing Medical Journal , 编辑部邮箱 ,1986年05期
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