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因先天性心力衰竭(大动脉完全转位)导致动脉血氧含量极低的新生儿的血气分析与心导管检查(作者译)

[Blood gas-analysis and heart catheterisation in newborns with extreme low oxygen content of arterial blood because of congenital heart failure (complete transposition of great vessels) (author's transl)].

作者信息

Münster W, Motsch K, Rüth P

出版信息

Z Erkr Atmungsorgane. 1976;145(3):354-8.

PMID:1020342
Abstract

Importance of atrial septostomia in newborns with complete transposition of the great heart vessels was to be proved in 75 children, 27 of them with an atrial shunt and 48 without additional shunt. Arterial oxygen-tension while breathing roomair rose from 19 Torr without shunt to 29 Torr after septostomia. Corresponding values while breathing oxygen are 23 Torr before and 40 Torr after septostomia. In 14 children 2-5 years after septostomia control-values of oxygen-tension were 42 Torr in aorta (ventr. dext.), 34 Torr in v. cava, 67 Torr in a. pulm. (ventr. sin.) and 104 Torr in v. pulm. Differences of oxygen-content were 2,97 vol.% between aorta and v. cava, 2.83 vol.% between v. pulm. and a. pulm., 7.46 vol.% between v. pulm. and aorta and 10.34 vol.% between v. pulm. and v. cava.

摘要

在75名患有完全性大动脉转位的新生儿中证实了房间隔造口术的重要性,其中27名有房水平分流,48名无额外分流。呼吸空气时,无分流患儿的动脉血氧分压从19托升至造口术后的29托。呼吸氧气时,相应数值术前为23托,术后为40托。14名患儿在造口术后2至5年,主动脉(右心室侧)血氧分压控制值为42托,腔静脉为34托,肺动脉(左心室侧)为67托,肺静脉为104托。主动脉与腔静脉之间的氧含量差值为2.97体积%,肺静脉与肺动脉之间为2.83体积%,肺静脉与主动脉之间为7.46体积%,肺静脉与腔静脉之间为10.34体积%。

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