d'Ortho M P, Delclaux C, Zerah F, Herigault R, Adnot S, Harf A
Service de Physiologie-Explorations Fonctionnelles and Institut National de la Santé et de la Recherche Médicale, INSERM U492, Hôpital Henri Mondor, Hôpitaux de Paris, Créteil, France.
Chest. 2001 Nov;120(5):1651-4. doi: 10.1378/chest.120.5.1651.
In adults, arterial blood samples are usually drawn using plastic syringes. In contrast to glass syringes, plastic syringes let oxygen diffuse through their wall. This results in PO(2) changes during storage, especially when PO(2) is high. An alternative to glass syringes is the Microsampler (Roche Diagnostics; Schaffhausen, Switzerland), a commercially available device consisting of a heparinized glass capillary fitted with a 26-gauge needle and used to collect arterial blood in the same way as a plastic syringe fitted with a needle.
We evaluated the performance of the Roche Microsampler for storing arterial blood in view of PO(2) measurement, comparatively with glass and plastic syringes. Five approximate initial PO(2) levels (650, 400, 200, 130, and 80 mm Hg) and two storage temperatures (ambient temperature and 4 degrees C) were studied.
Bench study.
Plastic syringes allowed reliable measurement of PO(2) values when initial PO(2) was too low to ensure complete hemoglobin oxygen saturation, but were associated with time-dependent underestimation of PO(2) at higher initial PO(2) values. No such underestimation occurred with the Roche Microsampler stored at 4 degrees C for up to 1 h for all PO(2) levels studied.
The Roche Microsamplers appeared to be reliable devices in preventing oxygen diffusion.
在成年人中,动脉血样本通常使用塑料注射器采集。与玻璃注射器不同,塑料注射器会使氧气透过其壁面扩散。这会导致储存期间的氧分压(PO₂)发生变化,尤其是当PO₂较高时。玻璃注射器的一种替代产品是微量采样器(罗氏诊断公司;瑞士沙夫豪森),这是一种市售设备,由一根装有26号针头的肝素化玻璃毛细管组成,用于以与装有针头的塑料注射器相同的方式采集动脉血。
我们鉴于PO₂测量,将罗氏微量采样器与玻璃注射器和塑料注射器相比较,评估其储存动脉血的性能。研究了五个大致的初始PO₂水平(650、400、200、130和80毫米汞柱)以及两个储存温度(环境温度和4℃)。
实验室研究。
当初始PO₂过低以至于无法确保血红蛋白完全氧饱和时,塑料注射器能够可靠地测量PO₂值,但在初始PO₂值较高时,会出现与时间相关的PO₂低估情况。对于所有研究的PO₂水平,在4℃下储存长达1小时的罗氏微量采样器未出现这种低估情况。
罗氏微量采样器似乎是防止氧气扩散的可靠设备。