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用于检测低氧血症的脉搏血氧饱和度测定法:给使用者和制造商的一个警示。

Pulse oximetry for hypoxemia: a warning to users and manufacturers.

作者信息

Fanconi S

机构信息

Department of Pediatrics, University of Zürich, Switzerland.

出版信息

Intensive Care Med. 1989;15(8):540-2. doi: 10.1007/BF00273571.

DOI:10.1007/BF00273571
PMID:2691541
Abstract

Pulse oximetry represents a major advance in patient monitoring, but measurement below 70 to 80% saturation has important limitations. Several authors have tested pulse oximetry at low saturations with conflicting results. A review of these data indicates that every patient with a pulse oximeter value below 75 to 80% SaO2 should have one or more invasive measurements of the arterial SaO2 in order to avoid undetected severe hypoxemia.

摘要

脉搏血氧饱和度测定是患者监测方面的一项重大进展,但饱和度低于70%至80%时的测量存在重要局限性。几位作者在低饱和度情况下测试了脉搏血氧饱和度测定,结果相互矛盾。对这些数据的综述表明,每个脉搏血氧仪值低于75%至80% SaO2的患者都应进行一次或多次动脉SaO2的有创测量,以避免未被发现的严重低氧血症。

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本文引用的文献

1
Evaluation of pulse oximetry.脉搏血氧饱和度测定法的评估
Anesthesiology. 1983 Oct;59(4):349-52. doi: 10.1097/00000542-198310000-00015.
2
Effects of multiple scattering and peripheral circulation on arterial oxygen saturation measured with a pulse-type oximeter.多次散射和外周循环对使用脉搏血氧仪测量的动脉血氧饱和度的影响。
Med Biol Eng Comput. 1984 Sep;22(5):475-8. doi: 10.1007/BF02447712.
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Pulse oximetry in pediatric intensive care: comparison with measured saturations and transcutaneous oxygen tension.儿科重症监护中的脉搏血氧饱和度测定:与实测饱和度及经皮氧分压的比较
J Pediatr. 1985 Sep;107(3):362-6. doi: 10.1016/s0022-3476(85)80507-2.
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Role of light scattering in whole blood oximetry.光散射在全血血氧测定中的作用。
IEEE Trans Biomed Eng. 1986 Mar;33(3):294-301. doi: 10.1109/tbme.1986.325713.
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Range of accuracy of two wavelength oximetry.
Chest. 1986 Apr;89(4):540-2. doi: 10.1378/chest.89.4.540.
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Anesthesiology. 1987 Mar;66(3):376-80. doi: 10.1097/00000542-198703000-00018.
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Pulse oximetry fails to accurately detect low levels of arterial hemoglobin oxygen saturation in dogs.脉搏血氧饱和度测定法无法准确检测犬类动脉血红蛋白氧饱和度的低水平情况。
J Clin Monit. 1987 Oct;3(4):257-62. doi: 10.1007/BF03337380.
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Crit Care Med. 1987 Nov;15(11):1062-4. doi: 10.1097/00003246-198711000-00015.
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Accuracy of response of six pulse oximeters to profound hypoxia.六种脉搏血氧仪对严重低氧反应的准确性。
Anesthesiology. 1987 Oct;67(4):551-8. doi: 10.1097/00000542-198710000-00017.
10
Reliability of pulse oximetry in hypoxic infants.低氧血症婴儿脉搏血氧饱和度测定的可靠性
J Pediatr. 1988 Mar;112(3):424-7. doi: 10.1016/s0022-3476(88)80326-3.