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脉搏血氧饱和度测定中使用波长下的人胎儿血红蛋白吸收特性。

Absorption characteristics of human fetal hemoglobin at wavelengths used in pulse oximetry.

作者信息

Harris A P, Sendak M J, Donham R T, Thomas M, Duncan D

机构信息

Department of Anesthesiology, Johns Hopkins University School of Medicine, Baltimore, MD.

出版信息

J Clin Monit. 1988 Jul;4(3):175-7. doi: 10.1007/BF01621812.

DOI:10.1007/BF01621812
PMID:2463343
Abstract

The absorption characteristics of fetal and adult human hemoglobin samples were determined for the range of 600 to 1,050 nm. Over this range, fetal hemoglobin absorption is nearly identical to that of adult hemoglobin. Since currently available two-wavelength pulse oximeters base their calculations of arterial oxyhemoglobin saturation on absorption at the wavelengths of 660 and 920 nm, we conclude that the accuracy of two-wavelength pulse oximetry previously demonstrated in adults can be extrapolated to infants with high concentrations of fetal hemoglobin.

摘要

测定了胎儿和成人血红蛋白样本在600至1050纳米范围内的吸收特性。在此范围内,胎儿血红蛋白的吸收与成人血红蛋白几乎相同。由于目前可用的双波长脉搏血氧仪是根据660和920纳米波长处的吸收来计算动脉血氧血红蛋白饱和度的,我们得出结论,先前在成人中证明的双波长脉搏血氧测定法的准确性可以外推至胎儿血红蛋白浓度高的婴儿。

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本文引用的文献

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Correction factors for hemoglobin derivatives in fetal blood, as measured with the IL 282 CO-Oximeter.
Clin Chem. 1983 Aug;29(8):1555-6.
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Noninvasive arterial hemoglobin oxygen saturation versus transcutaneous oxygen tension monitoring in the preterm infant.
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Directly measured arterial oxygen saturation in the newborn infant.
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Accuracy of pulse oximetry during arterial oxyhemoglobin desaturation in dogs.犬动脉血氧血红蛋白去饱和过程中脉搏血氧饱和度测定法的准确性。
无创血红蛋白检测和成像:疾病诊断的光学工具。
J Biomed Opt. 2022 Aug;27(8). doi: 10.1117/1.JBO.27.8.080901.
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Racial discrepancy in pulse oximeter accuracy in preterm infants.早产儿脉搏血氧仪准确性的种族差异。
J Perinatol. 2022 Jan;42(1):79-85. doi: 10.1038/s41372-021-01230-3. Epub 2021 Oct 12.
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Hydroyxurea improves cerebral oxygen saturation in children with sickle cell anemia.羟基脲可提高镰状细胞贫血患儿脑氧饱和度。
Am J Hematol. 2021 May 1;96(5):538-544. doi: 10.1002/ajh.26120. Epub 2021 Feb 19.
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Hemoglobin oxygen saturation targets in the neonatal intensive care unit: Is there a light at the end of the tunnel? .新生儿重症监护病房中的血红蛋白氧饱和度目标:隧道尽头有曙光吗?
Can J Physiol Pharmacol. 2019 Mar;97(3):174-182. doi: 10.1139/cjpp-2018-0376. Epub 2018 Oct 26.
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Oxygen targeting in preterm infants: a physiological interpretation.早产儿的氧疗目标:生理学解读
J Perinatol. 2015 Jan;35(1):8-15. doi: 10.1038/jp.2014.199. Epub 2014 Oct 30.
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Assessing diabetic foot ulcer development risk with hyperspectral tissue oximetry.应用高光谱组织血氧定量法评估糖尿病足溃疡的发展风险。
J Biomed Opt. 2011 Feb;16(2):026009. doi: 10.1117/1.3535592.
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Am J Crit Care. 2007 Mar;16(2):168-78.
Anesthesiology. 1988 Jan;68(1):111-4. doi: 10.1097/00000542-198801000-00018.
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