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| 題 名 | Swan-Ganz血流監測導管臨床應用之反面意見=Cons: The Clinical Application of Swan-Ganz Hemodynamic Monitoring |
|---|---|
| 作 者 | 范文林; 陳志慶; 高忠漢; | 書刊名 | 中華民國重症醫學雜誌 |
| 卷 期 | 4:4 2002.10[民91.10] |
| 頁 次 | 頁271-278 |
| 分類號 | 416.3 |
| 關鍵詞 | 反面意見; 肺動脈導管; 血流力學監測; 併發症; Cons; Swan-ganz catheter; Hemodynamic monitoring; Complication; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 肺動脈導管(Swan-Ganz catheter或pulmonary artery catheter:PCA)自從1970年被提倡以後,其間經由臨床應用及商品化策略,已被廣泛地使用在重症病患的臨床處理。但由於數據量取及應用常因人而異,以致於困擾著臨床治療方針。另外針對醫療費用的考量,以及操作置放時所發生的諸多不良反應及併發症,加上對於預後的影響也依取樣及臨床研究的差異而有不同的結果,導致近年來正反面意見辯論不休,甚至有學者主張限制或放棄此項侵入性血流監測系統的使用!本文乃針對醫療成本及預後的研究做反面的論述,另外針對幾項嚴重的併發症提供讀者做參考。最後再次強調,内文雖然以反面意見為主,然而並非要揚棄肺動脈導管的使用。 |
| 英文摘要 | Swan-Ganz catheter or pulmonary artery catheter (PAC) is widely used clinically in severe-illed patients since its introducing in 1970. Because of differences in methods of taking clinical data about its complications, medical costs and consequences, the result was so different that some colleges suggest to limited used or prohibit to use such an invasive monitoring system. In this paper, we are presenting in an opposite way to discuss about its complications, costs and outcome. We also provide some examples of major complications to the readers. Finally, we must to stress, that although we are presenting this topic in an opposite way, but we do not mean to prohibit its used. |
本系統中英文摘要資訊取自各篇刊載內容。