Stoney P J, Chakrabarti M K
J Laryngol Otol. 1991 Apr;105(4):295-8. doi: 10.1017/s002221510011566x.
We report our experience with 199 patients requiring admission with a diagnosis of croup over an 18 month period. The value of using pulse oximetry to monitor these children was critically examined. Twenty-nine patients with clinically significant stridor were monitored for an average of 12 hours. There was poor correlation of clinical status and respiratory rate with hypoxia as shown by the technique, with frequent dips in oxygen saturation being caused by technical problems such as movement artefact. Pulse oximetry is a useful adjunct to the clinical assessment of croup, but cannot be relied upon solely for monitoring these labile patients.
我们报告了在18个月期间199例因诊断为哮吼而需住院治疗的患者的情况。对使用脉搏血氧饱和度仪监测这些儿童的价值进行了严格审查。对29例有临床显著喘鸣的患者平均监测了12小时。该技术显示,临床状况和呼吸频率与缺氧之间的相关性较差,氧饱和度频繁下降是由运动伪影等技术问题引起的。脉搏血氧饱和度仪是哮吼临床评估的有用辅助手段,但不能仅依靠它来监测这些病情不稳定的患者。