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心脏手术后的外周灌注

Peripheral perfusion after cardiac surgery.

作者信息

Kuttila K, Niinikoski J

机构信息

Department of Surgery, University of Turku, Finland.

出版信息

Crit Care Med. 1989 Mar;17(3):217-20. doi: 10.1097/00003246-198903000-00003.

Abstract

Postoperative peripheral perfusion was studied in eight male patients undergoing coronary arterial bypass grafting. Transcutaneous PO2 (PtcO2), subcutaneous tissue PO2 (PscO2) and skin red cell flux (RCF) were recorded continuously in the upper extremity. In addition, peripheral and core temperatures, as well as central hemodynamic and some metabolic variables, were determined. The FIO2 was maintained at 0.3. Complete opening of peripheral circulation occurred within a mean of 7 h after transferring the patients to the ICU. As the fingertip temperature rose, the PtcO2 index, PscO2, and RCF underwent simultaneous increases, thereby reflecting reperfusion of the peripheral vascular bed.

摘要

对8例接受冠状动脉旁路移植术的男性患者进行了术后外周灌注研究。连续记录上肢的经皮氧分压(PtcO2)、皮下组织氧分压(PscO2)和皮肤红细胞通量(RCF)。此外,还测定了外周温度和核心温度,以及中心血流动力学和一些代谢变量。吸入氧分数(FIO2)维持在0.3。将患者转入重症监护病房(ICU)后,平均7小时内外周循环完全开放。随着指尖温度升高,PtcO2指数、PscO2和RCF同时升高,从而反映外周血管床的再灌注。

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