Hansen J E
University of California, Los Angeles, School of Medicine.
Clin Chest Med. 1989 Jun;10(2):227-37.
Blood gas analyses are an essential part of modern patient care. Although all blood gas instruments have pH, PCO2, and PO2 electrodes based on the same principles, instruments in current use vary greatly in design, operator dependence, and accuracy. For the clinician to obtain accurate and timely results there must be not only good instrumentation and laboratory techniques, but also reliable specimen collection and transport and data transmission. Dedicated personnel, duplicate instrumentation, frequent duplicate analyses of blood, blood tonometry, a good quality control system, and proficiency testing are advantageous. "Temperature correction" of the blood gas values by the laboratory to the patient's actual temperature is disadvantageous.
血气分析是现代患者护理的重要组成部分。尽管所有血气分析仪的pH、PCO2和PO2电极基于相同原理,但目前使用的仪器在设计、对操作人员的依赖程度和准确性方面差异很大。对于临床医生来说,要获得准确及时的结果,不仅要有良好的仪器设备和实验室技术,还必须有可靠的标本采集、运输和数据传输。配备专人、备用仪器、对血液进行频繁的重复分析、血液测压法、良好的质量控制系统和能力验证都是有益的。实验室将血气值“校正”到患者实际体温是不利的。