Costa P, Gulotta G, Agrò C, Romano V, Papa G, Piazza F, Sparacia B, Sansone A
Istituto di Anestesiologia, Rianimazione e dell'Emergenza, Università degli Studi di Palermo.
Minerva Anestesiol. 1992 May;58(5):311-4.
A 42 year old man was admitted to the intensive Care Unit with signs and symptoms of septic shock, associated with adult respiratory distress syndrome (ARDS), jaundice and acute renal failure. In order to support different organs failures mechanical ventilation (IPPV, PSV, CPAP), continuous arteriovenous hemofiltration were affected, and continuous intravenous infusion of dopamine and dobutamine was started. After and during application of these therapeutic measures, continuous monitoring of mixed venous blood oxygen saturation (SvO2) was applied by Swan-Ganz fiber optic catheter in the pulmonary artery. Monitoring of SvO2 represented a useful means to guide inotropic therapy and to assess the hemodynamic effects of CAVH and mechanical ventilation. The case reported emphasized the role of continuous venous oximetry in multiple organ failure syndrome.
一名42岁男性因感染性休克的症状和体征入院，伴有成人呼吸窘迫综合征（ARDS）、黄疸和急性肾衰竭。为支持不同器官功能衰竭，进行了机械通气（间歇正压通气、压力支持通气、持续气道正压通气）、持续动静脉血液滤过，并开始持续静脉输注多巴胺和多巴酚丁胺。在应用这些治疗措施之后及期间，通过肺动脉内的Swan - Ganz光纤导管持续监测混合静脉血氧饱和度（SvO2）。监测SvO2是指导强心治疗以及评估持续动静脉血液滤过和机械通气血流动力学效应的有用手段。报道的该病例强调了持续静脉血氧测定在多器官功能衰竭综合征中的作用。
