[c++] Is #pragma once a safe include guard?

If we use msvc or Qt (up to Qt 4.5), since GCC(up to 3.4) , msvc both support #pragma once, I can see no reason for not using #pragma once.

Source file name usually same equal class name, and we know, sometime we need refactor, to rename class name, then we had to change the #include XXXX also, so I think manual maintain the #include xxxxx is not a smart work. even with Visual Assist X extension, maintain the "xxxx" is not a necessary work.