von Pohle W R, Anholm J D, McMillan J
Jerry L. Pettis Memorial Veterans Administration Medical Center, Loma Linda, Ca.
Chest. 1992 Jun;101(6):1601-4. doi: 10.1378/chest.101.6.1601.
This study was to determine whether the PCONCO2 and PCONO2 which collect in the expiratory trap of a ventilator circuit are equivalent to PECO2 and PEO2. Fifty studies were performed in 34 mechanically ventilated male patients. Five milliliters of condensate fluid were collected and PECO2 and PEO2 were measured. Exhaled gases were collected simultaneously with condensate fluid for 5 min in a meteorologic balloon and FECO2 and FEO2 were measured; PECO2 and PEO2 were then calculated. The mean PECO2 was not significantly different from PCONCO2 nor was the PCONO2 significantly different from the condensate PCONO2. There was a high correlation between mixed expired PECO2 and PCONCO2 as well as PEO2 and PCONO2. These data indicate expiratory PCONCO2 and PCONO2 provide a valid reflection of PECO2 and PEO2. The PCONCO2 and PCONO2 measured in a clinical blood gas analyzer are accurate and may be used in calculation of VD/VT and in metabolic assessments.
本研究旨在确定收集于呼吸机回路呼气端集水瓶中的PCONCO2和PCONO2是否等同于PECO2和PEO2。对34例接受机械通气的男性患者进行了50项研究。收集5毫升冷凝液并测量PECO2和PEO2。在气象气球中与冷凝液同时收集呼出气体5分钟,并测量FECO2和FEO2;然后计算PECO2和PEO2。平均PECO2与PCONCO2无显著差异,PCONO2与冷凝液中的PCONO2也无显著差异。混合呼出的PECO2与PCONCO2以及PEO2与PCONO2之间存在高度相关性。这些数据表明呼气PCONCO2和PCONO2可有效反映PECO2和PEO2。在临床血气分析仪中测量的PCONCO2和PCONO2准确,可用于计算VD/VT和进行代谢评估。