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小儿重症监护中经皮氧分压测量(作者译)

[Transcutaneous measurement of partial pressure of oxygen in paediatric intensive care (author's transl)].

作者信息

Emmrich P, Stechele U, Huch R, Huch A

出版信息

Dtsch Med Wochenschr. 1975 Sep 19;100(38):1892,1897-901. doi: 10.1055/s-0028-1106476.

Abstract

The method of measuring oxygen partial pressure transcutaneously has provided an opportunity for continuous monitoring of patients on long-term resporator treatment. It has been convincingly demonstrated that serial samples obtained by arterial puncture are inadequate for controlling oxygen supply. An ideal correlation between arterial and transcutaneous pO2 was obtained when the control arterial sample was taken via an indwelling arterial catheter and artefacts, e.g. reaction to the needle puncture, had been eliminated. The necessary percentage of oxygen in the inspiratory mixture can be accurately gauged by continously measuring arterial pO2, as can changes brought about by the application of positive end-expiratory pressure in children on long-term ventilation. The transcutaneous measurement makes it possible to improve continuous monitoring of critically ill patients, and to carry out sparingly and safely long-term ventilation in them.

摘要

经皮测量氧分压的方法为长期接受呼吸器治疗的患者提供了持续监测的机会。有令人信服的证据表明,通过动脉穿刺获取的系列样本不足以控制氧气供应。当通过留置动脉导管采集对照动脉样本且消除了诸如对针刺的反应等假象时,动脉与经皮氧分压之间可获得理想的相关性。通过持续测量动脉氧分压,可以准确测定吸气混合气中所需的氧气百分比,长期通气的儿童应用呼气末正压时所引起的变化也能得以测定。经皮测量使得改善对危重症患者的持续监测成为可能,并能在这些患者中谨慎且安全地进行长期通气。

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