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局部氧分压及PO₂直方图在评估各器官氧供应状态中的意义(作者译)

[The significance of the local oxygen pressure and of the PO2 histogram for the evaluation of the state of oxygen supply to various organs (author's transl)].

作者信息

Lübbers D W

出版信息

Prakt Anaesth. 1977 Jun;12(3):184-93.

PMID:199896
Abstract

Theoretical and experimental investigations have shown that the oxygen pressure field of an organ reflects the state of the oxygen supply of a tissue. Unfortunately it is practically impossible to measure the total oxygen pressure field. Meaurements of arterial and venous PO2 or of the mean tissue PO2 do not reveal the local tissue situation. Measurements together with K. Kunze and M. Kessler lead us to the conclusion, that the oxygen pressure field can be characterized sufficiently well by a PO2-histogram. Under normal conditions the PO2-histogram is bell shaped with a steeper left side. The form and position is rather consistent. In hypoxia low PO2 values increase causing a leftward shift of the histogram; in hyperoxia the bell shaped form is destroyed and the form becomes broader and irregular. The form of the histogram gives also information about the state of the regulation of the microflow. It can be measured by PO2 microelectrodes as well as by multiwire surface electrodes. Both techniques have been applied successfully with patients.

摘要

理论和实验研究表明,器官的氧分压场反映了组织的氧供应状态。不幸的是,实际上不可能测量整个氧分压场。测量动脉和静脉的PO2或平均组织PO2并不能揭示局部组织的情况。与K. Kunze和M. Kessler一起进行的测量使我们得出结论,氧分压场可以通过PO2直方图得到充分表征。在正常情况下,PO2直方图呈钟形,左侧较陡。其形状和位置相当一致。在缺氧状态下,低PO2值增加,导致直方图向左移动;在高氧状态下,钟形被破坏,形状变得更宽且不规则。直方图的形状还提供了有关微流调节状态的信息。它可以通过PO2微电极以及多线表面电极进行测量。这两种技术都已在患者身上成功应用。

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