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[用于监测高危患者的脉搏血氧饱和度测定法。可能性、适应症及局限性]

[Pulse oximetry for monitoring high-risk patients. Possibilities, indications, and limits].

作者信息

Walz C, Görgens K, Bähr F

机构信息

Klinik und Poliklinik für Zahn-, Mund- und Kieferkrankheiten der Universität zu Köln.

出版信息

Dtsch Zahnarztl Z. 1991 Dec;46(12):839-41.

PMID:1840135
Abstract

In our study we could discover typical images when measuring patients undergoing dental surgery by pulse oxymetry. Thereby it seems possible to estimate the operative risk and get some better information beyond clinical examination (ASA-classification). The not being well of the patient could be detected this way earlier then by clinical signs. We have to support the fact that dental treatment in local anaesthesia should be limited to 30 min. The monitoring of pulse, mean artery pressure and oxygen saturation could be made more informative by sampling dates for up to 300 sec and displaying them on a monitor. This seems to be very helpful while treating patients with higher risk in the dentist's practice.

摘要

在我们的研究中,通过脉搏血氧测定法测量接受牙科手术的患者时,我们能够发现典型图像。因此,似乎有可能评估手术风险,并获得一些超出临床检查(美国麻醉医师协会分级)的更好信息。通过这种方式,可以比通过临床体征更早地检测到患者的不适。我们必须支持局部麻醉下的牙科治疗应限制在30分钟以内这一事实。通过长达300秒的采样日期并在监视器上显示,可以使脉搏、平均动脉压和血氧饱和度的监测更具信息性。这在牙科诊所治疗高危患者时似乎非常有帮助。

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