Bardakjian V B, Kenney J G, Edgerton M T, Morgan R F
University of Virginia Medical Center, Charlottesville 22908.
J Burn Care Rehabil. 1988 Jan-Feb;9(1):63-5. doi: 10.1097/00004630-198801000-00015.
The reliability and accuracy of pulse oximetry as a monitoring device in deep superficial and full-thickness circumferential burns of the upper extremity were evaluated clinically. Pulse oximetry was correlated with the laser Doppler flowmeter experimentally in healthy volunteers. By continuously monitoring oxygen saturation levels, the pulse oximeter detected extremity hypoxia before it resulted in an adverse outcome. Extremities exhibiting oxygen saturation above 95% were treated with early excision and skin grafting without escharotomy. Extremities with O2 saturations of less than 95% underwent immediate escharotomy with return to normal saturation levels. The pulse oximeter is easy to use by nursing personnel; is noninvasive and accurate; and displays the oxygen saturation level within seconds.
临床上评估了脉搏血氧饱和度仪作为上肢深度浅表和全层环形烧伤监测设备的可靠性和准确性。在健康志愿者中通过实验将脉搏血氧饱和度仪与激光多普勒血流仪进行了相关性研究。通过持续监测血氧饱和度水平，脉搏血氧仪在肢体缺氧导致不良后果之前就检测到了。血氧饱和度高于95%的肢体采用早期切除和植皮治疗，无需切开焦痂。血氧饱和度低于95%的肢体立即进行切开焦痂，血氧饱和度恢复正常水平。脉搏血氧仪便于护理人员使用；无创且准确；并能在数秒内显示血氧饱和度水平。
