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通过微循环测量和氧消耗控制重症监护

[Control of intensive care through the measurement of microcirculation and 02 consumption].

作者信息

Schönleben K, Krumme B A, Bünte H, Kessler M

出版信息

Langenbecks Arch Chir. 1976;Suppl:72-6.

PMID:1031832
Abstract

The pO2-multiwire electrode measures the intercapillary oxygen tension. The pO2 histogram, which results from such measurements gives precise information about the question as to whether microcirculation is disturbed or not. Thus, pathological changes in respiration and volume can be recognized earlier than with classical methods. The latter registers the mainly central variables which are compensated for a longer period of time. The local pO2 measurement allows individual regulation of respiratory therapy and monitors the response of oxygen therapy. Using this method oxygen deficiency as well as overdosage of oxygen supply can be averted. Thus, important diagnostic and therapeutic indications can be identified.

摘要

血氧分压多丝电极可测量毛细血管间的氧张力。由这种测量得出的血氧分压直方图能提供有关微循环是否受到干扰这一问题的精确信息。因此,与传统方法相比,呼吸和容量方面的病理变化能够更早被识别。传统方法主要记录的是中枢变量,这些变量在较长一段时间内会得到代偿。局部血氧分压测量可实现呼吸治疗的个体化调节,并监测氧疗的反应。使用这种方法可以避免缺氧以及氧供应过量的情况。因此,能够确定重要的诊断和治疗指征。

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