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通过足背动脉进行直接动脉压监测。

Direct arterial pressure monitoring from the dorsalis pedis artery.

作者信息

Spoerel W E, Deimling P, Aitken R

出版信息

Can Anaesth Soc J. 1975 Jan;22(1):91-9. doi: 10.1007/BF03004824.

DOI:10.1007/BF03004824
PMID:1109711
Abstract

The arteria dorsalis pedis, when clearly palpable, is a suitable artery for direct arterial blood pressure monitoring. The systolic pressure and the pulse pressure are likely higher in the dorsalis pedis artery when compared to the radial artery but there is no clinically significant difference in mean pressures. In plethysmographic studies it was found that in 16 per cent of the patients examined the pulse in the second toe disappeared after occlusion of the dorsalis pedis artery indicating that it carried the main blood supply to the toes. Although no complications have resulted from cannulation of the dorsalis pedis artery in our practise, some caution is in order and preliminary testing may be advisable even if the posterior tibial artery is distinctly palpable.

摘要

足背动脉在能清晰触及时,是适合直接进行动脉血压监测的动脉。与桡动脉相比,足背动脉的收缩压和脉压可能更高,但平均压力在临床上无显著差异。在体积描记法研究中发现,在接受检查的患者中,16%的患者在足背动脉闭塞后第二趾的脉搏消失,这表明该动脉为脚趾提供主要血液供应。尽管在我们的实践中,经足背动脉插管未引发并发症,但仍需谨慎,即便胫后动脉能明显触及,进行初步测试也可能是明智的。

相似文献

1
Direct arterial pressure monitoring from the dorsalis pedis artery.通过足背动脉进行直接动脉压监测。
Can Anaesth Soc J. 1975 Jan;22(1):91-9. doi: 10.1007/BF03004824.
2
[Photoplethysmography evaluation of collateral blood flow before puncture of the dorsalis pedis artery].[足背动脉穿刺前侧支血流的光电容积脉搏波描记法评估]
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Comparison of direct blood pressure measurement at the radial and dorsalis pedis arteries during surgery in the horizontal and reverse Trendelenburg positions.在水平位和头低脚高位手术期间桡动脉与足背动脉直接血压测量的比较。
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The technique of dorsalis pedis cannulation. An overlooked option when the radial artery cannot be used.足背动脉置管技术。当无法使用桡动脉时被忽视的一种选择。
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引用本文的文献

1
Evaluation of Success of Arterial Cannulation Employing the Dorsalis Pedis Artery Versus Posterior Tibial Artery: A Clinical Comparative Study.采用足背动脉与胫后动脉进行动脉插管成功率的评估:一项临床对比研究。
Turk J Anaesthesiol Reanim. 2023 Feb;51(1):55-61. doi: 10.5152/TJAR.2023.22826.
2
Study for the discrepancy of arterial blood pressure in accordance with method, age, body part of measurement during general anesthesia using sevoflurane.研究使用七氟醚全身麻醉时,根据方法、年龄和测量部位的不同,动脉血压的差异。
Korean J Anesthesiol. 2011 May;60(5):323-8. doi: 10.4097/kjae.2011.60.5.323. Epub 2011 May 31.

本文引用的文献

1
A study of the arterial variations in the limbs, with special reference to symmetry of vascular patterns.一项关于四肢动脉变异的研究,特别关注血管模式的对称性。
Am J Anat. 1961 May;108:245-61. doi: 10.1002/aja.1001080303.
2
Prevalence of congenitally absent pedal pulses.先天性足背动脉缺如的患病率。
N Engl J Med. 1968 Feb 1;278(5):264-5. doi: 10.1056/NEJM196802012780508.
3
Catheterization of the dorsalis pedis artery.足背动脉导管插入术。
Anesthesiology. 1973 Dec;39(6):654-5. doi: 10.1097/00000542-197312000-00023.