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体型与术前动脉血氧张力。

Body build and preoperative arterial oxygen tensions.

作者信息

Wahba W M

出版信息

Can Anaesth Soc J. 1975 Nov;22(6):653-8. doi: 10.1007/BF03013312.

Abstract

Arterial oxygen tensions were determined in 35 supine unpremedicated surgical patients. Correlations were sought for age, weight, and weight/height, and Pao2. A definite, clear cut linear reduction of Po2 with age was found but not for weight alone. A relationship with weight/height ratio was found. If the weight/height related reduction in FRC following induction is added to that, two potential factors can be seen to contribute to intra-operative hypoxaemia. In a further 20 patients who received phenobarbitone premedication only, arterial oxygen tensions were found to be above the predicted line for their age. This is taken as evidence against respiratory depression due to premedication with barbiturates.

摘要

对35名未使用术前药的仰卧位外科手术患者测定了动脉血氧分压。研究了年龄、体重、体重/身高与动脉血氧分压(Pao2)之间的相关性。发现随着年龄增长,动脉血氧分压(Po2)呈明确、明显的线性降低,但仅体重因素未显示这种关系。发现了与体重/身高比之间的关系。如果将诱导后功能残气量(FRC)与体重/身高相关的降低因素考虑在内,可发现两个潜在因素会导致术中低氧血症。在另外20名仅接受苯巴比妥术前药的患者中,发现其动脉血氧分压高于根据其年龄预测的水平。这被视为反对巴比妥类药物术前药导致呼吸抑制的证据。

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