Swan-Ganz导管应用技巧与临床解读-课件，幻灯，ppt.ppt

Swan-Ganz;1967年加州大学洛杉矶分院Dr. Swan 由 顺着洋流飘回港湾的帆船，联想到带气囊 的心脏导管可以随血流在心脏内向前漂移。 1970年Swan与Ganz合作研制了顶端带气囊的血流导向肺动脉漂浮导管(Balloon-tip flow-directed Catheter), 并应用于临床。;Thermistor Connector;CVP/Proximal Infusion Lumen Hub;PVC 聚氯乙烯材料 ;临床应用技巧;穿刺路径: 右颈内静脉最为常用;准备好穿刺针、导丝、扩张器、外套管、Swan-Ganz导管、压力传感器及冲洗装置等 ;Swan-Ganz 置管 ;Swan-Ganz 置管 ;Swan-Ganz 置管 ;Swan-Ganz 置管 ;Swan-Ganz Insertion ;;—肺区的概念;临床应用技巧;实际测量的关键环节;Assumptions of TD CO Determinations;Intermittent Bolus Thermodilution ;Intermittent CO Measurements Technical Issues;8 am CO/CI 6.0 / 3.0 4 pm CO/CI 3.6 / 1.8 ;Continuous Cardiac Output ;CCO Modified Swan-Ganz Catheter ;Continuous Cardiac Output ;临床应用技巧;适应症;Oxygen Exchange;??数;;Preload ;Contractility ;Afterload ;Clinical Measurement of Afterload ;Preload; Compliance Dynamics;临床应用技巧; RV LV ;Right Left Ventricle;End Systolic Volume (ESV);End Diastolic Volume (EDV);Continuous End Diastolic Volume ;临床应用技巧;Swan-Ganz Catheter_CuiNa;Resuscitation to normal vital signs may lead to occult hypoperfusion;ScvO2 correlates with SvO2 in shock states;;