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在评估犬的血气和酸碱状态时,对同时采集的动脉血、混合静脉血、颈静脉血和头静脉血样本进行比较。

A comparison of simultaneously collected arterial, mixed venous, jugular venous and cephalic venous blood samples in the assessment of blood-gas and acid-base status in the dog.

作者信息

Ilkiw J E, Rose R J, Martin I C

机构信息

Department of Veterinary Clinical Studies, University of Sydney, Australia.

出版信息

J Vet Intern Med. 1991 Sep-Oct;5(5):294-8. doi: 10.1111/j.1939-1676.1991.tb03136.x.

DOI:10.1111/j.1939-1676.1991.tb03136.x
PMID:1748981
Abstract

Blood samples were collected simultaneously from the pulmonary artery, jugular vein, cephalic vein, and carotid artery in awake dogs. Blood-gas and acid-base values were measured from these blood samples in normal dogs and in dogs after production of metabolic acidosis and metabolic alkalosis. The values obtained from each of the venous sites were compared with those obtained from arterial blood to determine if venous blood from various sites accurately reflected acid-base balance and could therefore be used in the clinical patient. The results of this study demonstrated significant differences between the blood from various venous sites and the arterial site for PCO2 and pH in all acid-base states. Significant differences for standard bicarbonate (SHCO3) were found only when jugular and cephalic venous blood were compared with arterial blood in dogs with a metabolic acidosis. No significant differences were found for BE when blood from the venous sites was compared with arterial blood. The values for pH, HCO3, TCO2, BE, and SHCO3 measured on blood collected at the various venous sites were found to correlate well with those obtained from arterial blood, with a correlation coefficient of 0.99 for HCO3, TCO2, BE, and SHCO3. These correlation coefficients, together with similar values in BE at all collection sites, indicate that, in the dog with normal circulatory status, blood from any venous site will accurately reflect the acid-base status of the patient.

摘要

在清醒犬中,同时从肺动脉、颈静脉、头静脉和颈动脉采集血样。在正常犬以及制造代谢性酸中毒和代谢性碱中毒后的犬中,对这些血样进行血气和酸碱值测量。将从各个静脉部位获得的值与从动脉血获得的值进行比较,以确定来自不同部位的静脉血是否能准确反映酸碱平衡,从而可用于临床患者。本研究结果表明,在所有酸碱状态下,不同静脉部位的血液与动脉部位的血液在PCO2和pH方面存在显著差异。仅在患有代谢性酸中毒的犬中,将颈静脉和头静脉血与动脉血进行比较时,发现标准碳酸氢盐(SHCO3)存在显著差异。当将静脉部位的血液与动脉血进行比较时,未发现BE存在显著差异。发现在各个静脉部位采集的血液上测量的pH、HCO3、TCO2、BE和SHCO3值与从动脉血获得的值具有良好的相关性,HCO3、TCO2、BE和SHCO3的相关系数为0.99。这些相关系数以及所有采集部位BE的相似值表明,在循环状态正常的犬中,来自任何静脉部位的血液都能准确反映患者的酸碱状态。

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