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通过植入的乳胶橡胶管在人体中测量组织氧分压。

Tissue PO2 measured in man by an implanted latex rubber tube.

作者信息

Hedenstierna G, Schildt B

出版信息

Acta Anaesthesiol Scand. 1975;19(5):370-6. doi: 10.1111/j.1399-6576.1975.tb05198.x.

Abstract

A latex rubber tube easily permeable to O2 was implanted in a triceps muscle of six volunteers. Seven days later, PO2 in muscle tissue (PtO2) was measured repeatedly by filling the tube with saline. After a 2-minute equilibration, the saline was sampled in a glass capillary and its PO2 measured by polarographic technique. PaO2 and venous oxygen tension (PvO2) were measured simultaneously. Measurements were performed under four conditions: (1) air breathing, (2) breathing 100% O2, (3) breathing 14% O2, and (4) 50 Warm exercise. During (1) breathing air PaO2 was on an average 90 mmHg, PvO2 36 MMHg and PtO2 40 mmHg. During (2) PaO2 reached 570 mmHg in 2 min, PvO2 rose slightly and PtO2 increased to 80-90 mmHg in 30-40 min. During (3) PaO2 fell rapidly to 45 mmHg and PtO2 decreased from 40 to 30 mmHg in 8 min. During (4) PaO2 did not change, PvO2 decreased slightly and PtO2 fell to approximately 30 mmHg within 2-4 min. The interindividual scatter was of equal magnitude in tissue and blood. A PtO2 higher than PvO2 during oxygen breathing and less than PvO2 during hypoxia and physical exercise is explained by the existence of oxygen gradients in the extravascular space. The present technique proved to be simple despite a 1-week delay before measurements. There were no complications, and no discomfort was complained of. Thus, the latex rubber tube seems suitable for clinical use.

摘要

将一根对氧气具有良好通透性的乳胶橡胶管植入6名志愿者的肱三头肌中。7天后,通过向管内注入生理盐水来反复测量肌肉组织中的氧分压(PtO2)。经过2分钟的平衡后,将生理盐水采集到玻璃毛细管中,并通过极谱技术测量其氧分压。同时测量动脉血氧分压(PaO2)和静脉血氧分压(PvO2)。测量在四种条件下进行:(1)呼吸空气;(2)呼吸100%氧气;(3)呼吸14%氧气;(4)50次温和运动。在(1)呼吸空气时,平均PaO2为90 mmHg,PvO2为36 mmHg,PtO2为40 mmHg。在(2)中,2分钟内PaO2达到570 mmHg,PvO2略有上升,30 - 40分钟内PtO2升至80 - 90 mmHg。在(3)中,PaO2迅速降至45 mmHg,8分钟内PtO2从40 mmHg降至30 mmHg。在(4)中,PaO2不变,PvO2略有下降,2 - 4分钟内PtO2降至约30 mmHg。组织和血液中的个体间差异程度相同。在吸氧期间PtO2高于PvO2,而在缺氧和体育锻炼期间低于PvO2,这可以通过血管外空间中氧梯度的存在来解释。尽管测量前有1周的延迟,但本技术被证明很简单。没有并发症,也没有不适主诉。因此,乳胶橡胶管似乎适用于临床应用。

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