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单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,淅医二院心脏病中心,THE HEART CENTER OF SECOND AFFILIATED HOSPITAL,ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE,心导管术及冠心病的介入诊断与治疗,浙江大学医学院附属第二医院王建安,In 1929.Werner,Forssmann inserted a,cannula into his own,antecubital vein through,which he passed a,catheter for 65cm and,then walked to the X-ray,dept,where a,photograph was taken,of the catheter lying in,his right atrium,Swan-Ganz catheter,肺动脉漂浮导管,The pulmonary artery catheter is frequently,referred to as a swan-Ganz catheter in honor of,its inventors Jeremy Swan and William Ganz,from Cedars-Sinai Medical Center,1970年,SWan及其同事将肺动脉漂浮导管(flW-,directed pulmonary artery catheter,PAC)用于临,床,因而有可能在床旁进行右心导管检测,Swan-Ganz catheter,原理,在距导管顶部约30cm处,有,腔开口,可做右心房压力监测,在距顶部4cm处的热敏电阻探,头,可做心输出量的测定,气囊距导管顶端约lmm,可,anie,Arter,用空气或二氧化碳气充胀,Srar Vas Ca,导管顶端有一腔开口,可做肺,动脉压力监测,Swan-Ganz catheter,主要指标正常范围,Right atrial pressure(RAP)右心房压:08mmHg,Pulmonary artery systolic pressure:肺动脉收缩压:,15 N 30 mmHg,Pulmonary artery mean pressure肺动脉平均压:,9 N17 mmHg,Pulmonary artery diastolic pressure肺动脉舒张压:,08 mmHg,Pulmonary capillary wedge pressure(PCWP,肺毛细血管楔压:612mmHg,
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