Nickelsen C, Weber T
Eur J Obstet Gynecol Reprod Biol. 1986 Jan;21(1):7-14. doi: 10.1016/0028-2243(86)90040-7.
Previously, the various components of fetal acid-base state during labour could only be estimated discontinuously by fetal blood sampling, or continuously by monitoring of a single component. This is the first report describing simultaneous continuous monitoring of the tissue pH, the transcutaneous carbon dioxide tension and on-line calculation of the tissue-standard base excess (t-SBE) of the human fetus during labour. In seven uncomplicated deliveries t-SBE was increasing or constant, thus indicating no fetal hypoxia. When a more reliable tissue pH electrode becomes available, t-SBE calculation may become a valuable tool in the management of high-risk labours.
此前，分娩期间胎儿酸碱状态的各个组成部分只能通过间断采集胎儿血样进行评估，或者通过监测单一组成部分进行连续评估。本文首次报告了对分娩期间人类胎儿的组织pH值、经皮二氧化碳分压进行同步连续监测，并在线计算组织标准碱剩余（t-SBE）。在7例无并发症的分娩中，t-SBE升高或保持稳定，因此表明不存在胎儿缺氧情况。当更可靠的组织pH电极可用时，t-SBE计算可能成为高危分娩管理中的一项有价值的工具。
