关于肺动脉导管在围术期应用的争论

Argument about the Perioperative Use of Pulmonary Artery Catheter

肺动脉导管（PAC）在临床被广泛用于危重和创伤病人的围术期管理，并为临床医师提供常规手段不能获得的血流动力学评估指标和资料，但是一外科病人术后预后的研究资料表明PAC监测时临床价值井不一致存在许多争议，本文就该方面的临床资料作一些介绍。

The flow-directed pulmonary artery catheter（PAC）is widely used in the management of high-risk surgical and trauma patients PACs provide the clinician with more hemodynarmic data,However,clinical trials in surgical patient populations have demonstrated that postoperative outcomes are improved ,worsened,or unchanged with the use of PACmonitoring.