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[重症医学中混合静脉血氧饱和度与中心静脉血氧饱和度的比较]

[Mixed venous versus central venous oxygen saturation in intensive medicine].

作者信息

Wendt M, Hachenberg T, Albert A, Janzen R

机构信息

Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin Westfälische Wilhelms-Universität Münster.

出版信息

Anasth Intensivther Notfallmed. 1990 Feb;25(1):102-6.

PMID:2309989
Abstract

Mixed venous oxygen saturation (SvO2) has been established as a useful guide in observing whole body oxygenation. Since SvO2 provides limited information about adequate tissue oxygenation for a specific organ, the usefulness of central venous saturation (ScvO2) as a guide was analysed, which is a less invasive parameter. In 19 ICU patients 44 pairs of blood samples were drawn from a separate central venous catheter and from the tip of an SG-catheter. The correlation of oxygen partial pressures was 0.687 and the correlation of the saturation reached 0.779. The calculation of venous admixture showed a correlation of 0.901. It is concluded that ScvO2 yields adequate information on the oxygen saturation of venous return.

摘要

混合静脉血氧饱和度(SvO2)已被确立为观察全身氧合的有用指标。由于SvO2提供的关于特定器官充分组织氧合的信息有限,因此分析了中心静脉血氧饱和度(ScvO2)作为指标的有用性,它是一个侵入性较小的参数。对19例重症监护病房患者,从一根单独的中心静脉导管和一根SG导管尖端采集了44对血样。氧分压的相关性为0.687,饱和度的相关性达到0.779。静脉血掺杂计算显示相关性为0.901。得出的结论是,ScvO2能提供关于静脉回流血氧饱和度的充分信息。

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引用本文的文献

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Should We Monitor ScVO(2) in Critically Ill Patients?我们是否应该监测危重症患者的 ScVO(2)?
Cardiol Res Pract. 2012;2012:370697. doi: 10.1155/2012/370697. Epub 2011 Sep 21.
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The concentration of oxygen, lactate and glucose in the central veins, right heart, and pulmonary artery: a study in patients with pulmonary hypertension.中心静脉、右心及肺动脉中氧、乳酸和葡萄糖的浓度:一项针对肺动脉高压患者的研究
Crit Care. 2007;11(2):R44. doi: 10.1186/cc5739.
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Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill.
危重症患者中心静脉和肺动脉血氧饱和度的连续监测
Intensive Care Med. 2004 Aug;30(8):1572-8. doi: 10.1007/s00134-004-2337-y. Epub 2004 Jun 9.