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注射器类型和储存条件对马血气及酸碱分析结果的影响。

Effects of syringe type and storage conditions on results of equine blood gas and acid-base analysis.

作者信息

Kennedy Sarah A, Constable Peter D, Sen Ismail, Couëtil Laurent

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, IN 47907, USA.

出版信息

Am J Vet Res. 2012 Jul;73(7):979-87. doi: 10.2460/ajvr.73.7.979.

DOI:10.2460/ajvr.73.7.979
PMID:22738049
Abstract

OBJECTIVE

To determine effects of syringe type and storage conditions on blood gas and acid-base values for equine blood samples.

SAMPLE

Blood samples obtained from 8 healthy horses.

PROCEDURES

Heparinized jugular venous blood was equilibrated via a tonometer at 37°C with 12% O(2) and 5% CO(2). Aliquots (3 mL) of tonometer-equilibrated blood were collected in random order by use of a glass syringe (GS), general-purpose polypropylene syringe (GPPS), or polypropylene syringe designed for blood gas analysis (PSBGA) and stored in ice water (0°C) or at room temperature (22°C) for 0, 5, 15, 30, 60, or 120 minutes. Blood pH was measured, and blood gas analysis was performed; data were analyzed by use of multivariable regression analysis.

RESULTS

Blood Po(2) remained constant for the reference method (GS stored at 0°C) but decreased linearly at a rate of 7.3 mm Hg/h when stored in a GS at 22°C. In contrast, Po(2) increased when blood was stored at 0°C in a GPPS and PSBGA or at 22°C in a GPPS; however, Po(2) did not change when blood was stored at 22°C in a PSBGA. Calculated values for plasma concentration of HCO(3) and total CO(2) concentration remained constant in the 3 syringe types when blood was stored at 22°C for 2 hours but increased when blood was stored in a GS or GPPS at 0°C.

CONCLUSIONS AND CLINICAL RELEVANCE

Blood samples for blood gas and acid-base analysis should be collected into a GS and stored at 0°C or collected into a PSBGA and stored at room temperature.

摘要

目的

确定注射器类型和储存条件对马血样血气及酸碱值的影响。

样本

从8匹健康马采集的血样。

步骤

经肝素化处理的颈静脉血通过血气分析仪在37°C、含12%氧气和5%二氧化碳的条件下进行平衡。使用玻璃注射器(GS)、通用聚丙烯注射器(GPPS)或专为血气分析设计的聚丙烯注射器(PSBGA),以随机顺序收集3毫升经血气分析仪平衡的血液样本,并分别储存在冰水(0°C)或室温(22°C)下0、5、15、30、60或120分钟。测量血液pH值并进行血气分析;采用多变量回归分析对数据进行分析。

结果

对于参考方法(储存在0°C的GS),血液氧分压(Po₂)保持恒定,但储存在22°C的GS中时,以7.3毫米汞柱/小时的速率呈线性下降。相比之下,当血液储存在0°C的GPPS和PSBGA中或22°C的GPPS中时,Po₂升高;然而,当血液储存在22°C的PSBGA中时,Po₂不变。当血液在22°C储存2小时时,三种注射器类型中计算得出的血浆碳酸氢根(HCO₃)浓度和总二氧化碳(CO₂)浓度值保持恒定,但当血液储存在0°C的GS或GPPS中时,这些值会升高。

结论及临床意义

用于血气和酸碱分析的血样应收集到GS中并储存在0°C,或收集到PSBGA中并储存在室温下。

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