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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。

相似文献

1
[Pulse oximetry for monitoring high-risk patients. Possibilities, indications, and limits].[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]
Dtsch Zahnarztl Z. 1991 Dec;46(12):839-41.
2
Pulse oximetry monitoring of sedated pediatric dental patients.对接受镇静的小儿牙科患者进行脉搏血氧饱和度监测。
Anesth Prog. 1985 Nov-Dec;32(6):237-40.
3
[Outpatient dental surgery under anesthesiological monitoring. Investigation with 1022 patients at risk].[麻醉监测下的门诊牙科手术。对1022名有风险患者的调查]
Dtsch Zahnarztl Z. 1991 Dec;46(12):842-4.
4
[The use of pulse oximetry in detecting disorders of the arterial oxygen status in the immediate postoperative phase exemplified by combination anesthesia with isoflurane].[以异氟烷复合麻醉为例探讨脉搏血氧饱和度测定法在术后即刻检测动脉氧状态紊乱中的应用]
Anasth Intensivther Notfallmed. 1989 Feb;24(1):27-36.
5
Introduction of a new patient monitoring system during dental procedures: pulse oximetry.
Oral Surg Oral Diagn. 1993;4:29-33.
6
Introduction of a new patient monitoring system during dental procedures: pulse oximetry.牙科手术中一种新型患者监测系统的介绍:脉搏血氧饱和度测定法。
Oral Surg Oral Diagn. 1996;7:15-9.
7
Pulse oximetry during minor oral surgery with and without intravenous sedation.在有或没有静脉镇静的小型口腔手术期间的脉搏血氧饱和度测定。
Oral Surg Oral Med Oral Pathol. 1992 Nov;74(5):537-43. doi: 10.1016/0030-4220(92)90339-r.
8
Co-operation with pre-operative cardiovascular monitoring amongst children for chair dental general anaesthesia.儿童牙科全身麻醉术前心血管监测的协作
Ann R Coll Surg Engl. 2006 Mar;88(2):207-9. doi: 10.1308/rcsann.2006.88.2.207.
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[Pulse oximetry monitoring of single lung anesthesia in non-cardiac thoracic surgery].[非心脏胸科手术中单肺麻醉的脉搏血氧饱和度监测]
Anasth Intensivther Notfallmed. 1989 Dec;24(6):323-6.
10
Changes in heart rate and blood pressure during dental procedures with local anesthesia.局部麻醉下牙科手术过程中的心率和血压变化。
Anesth Prog. 1989 Jul-Oct;36(4-5):234-5.

引用本文的文献

1
Management and care of patients at risk in a surgical dental practice.外科牙科诊所中高危患者的管理与护理
Anesth Prog. 1996 Summer;43(3):73-7.
2
The incidence of complications associated with local anesthesia in dentistry.牙科局部麻醉相关并发症的发生率。
Anesth Prog. 1997 Fall;44(4):132-41.