Nightingale P
Intensive Care Unit, University Hospital of South Manchester, Withington, UK.
Intensive Care Med. 1990;16 Suppl 2:S173-7. doi: 10.1007/BF01785249.
Application of the principles of oxygen transport in the management of critically ill patients can influence the frequency of organ failure and outcome. Adequate tissue oxygen consumption in these patients may depend on a supranormal level of oxygen delivery. The equations used for calculating oxygen delivery and consumption are provided, and it is noted that clinicians should have a clear understanding of the limitations of each of the measurements included in the equations. The methods used to perform the measurements are reviewed. Widespread acceptance and use of oxygen transport protocols in treatment is only possible if the measurements on which they are based are accurate and properly interpreted.
氧输送原理在危重症患者管理中的应用会影响器官衰竭的发生率和预后。这些患者充足的组织氧消耗可能依赖于超常水平的氧输送。文中给出了用于计算氧输送和氧消耗的公式，并指出临床医生应清楚了解公式中各项测量值的局限性。对进行这些测量所采用的方法进行了综述。只有基于准确且得到正确解读的测量结果，氧输送方案才能在治疗中得到广泛认可和应用。
