Volter F, Uhart N, Buvry A, Bienvenu A
Physiology Laboratory, Jean Verdier Hospital, Bondy and Medical School, Bobigny, France.
Scand J Clin Lab Invest Suppl. 1990;203:123-8. doi: 10.3109/00365519009087500.
Oxygen status from both arterial and mixed venous blood was analyzed by reliable methods in 39 cirrhotic patients. These measured data were checked with computed oxygen parameters by new calculation algorithms. Calculated oxygen contents were higher than directly measured values but there was a highly significant correlation between them. Calculated and measured 2,3-DPG mean values were not significantly different but there was no correlation between them. A large difference was observed between measured and computed evaluation of oxygen-hemoglobin affinity without correlation between P50. In hyperkinetic patients, no correlation was observed between 'compensation factor' and the increase of cardiac index. So, in these patients the new iterative equations were not valid to determine traditional oxygen parameters from only Po2 and So2 arterial measurements. Moreover the new oxygenation parameters appeared frankly inadequate.
采用可靠方法对39例肝硬化患者的动脉血和混合静脉血的氧状态进行了分析。这些测量数据通过新的计算算法与计算得出的氧参数进行核对。计算得出的氧含量高于直接测量值,但二者之间存在高度显著的相关性。计算得出的和测量得出的2,3 -二磷酸甘油酸(2,3-DPG)平均值无显著差异,但二者之间不存在相关性。在氧合血红蛋白亲和力的测量值与计算值评估之间观察到较大差异,且P50之间无相关性。在高动力型患者中,“补偿因子”与心脏指数的增加之间未观察到相关性。因此,在这些患者中,仅通过动脉血氧分压(Po2)和血氧饱和度(So2)测量值来确定传统氧参数时,新的迭代方程并不有效。此外,新的氧合参数明显不足。