[经皮血气监测在重症监护患者纤维支气管镜检查中的价值]

[Value of transcutaneous blood gas monitoring in fiberoptic bronchoscopy in intensive care patients].

作者信息

Manchon J, Ferber C, Roche F, Lopez M, Gallet M

机构信息

Service de Soins Intensifs et d'Urgences Médicales, Hôpital Saint-Joseph, Lyon.

出版信息

Ann Fr Anesth Reanim. 1988;7(1):42-5. doi: 10.1016/s0750-7658(88)80011-x.

DOI:10.1016/s0750-7658(88)80011-x

PMID:3348514

Abstract

Transcutaneous carbon dioxide and oxygen tensions (PtcCO2 and PtcO2) were monitored in seven critically ill patients under mechanical ventilation during fiberoptic bronchoscopy. In these conditions, both PtcO2 and PaO2 and PtcCO2 and PaCO2 correlated, with correlation coefficients of 0.964 and 0.793 respectively. Fiberoptic bronchoscopy induced an average fall in PtcO2 of 42 +/- 2.57 mmHg and an average increase in PtcCO2 of 12.1 +/- 1.89 mmHg; these two parameters returned quickly to their initial values after the procedure. Holter monitoring showed an arrhythmia in five of the seven patients. Continuous measurement of PtcO2 and PtcCO2 was a safe and reliable method for monitoring mechanically ventilated patients undergoing fiberoptic bronchoscopy.

摘要

在七名机械通气的重症患者接受纤维支气管镜检查期间，监测了经皮二氧化碳和氧分压（PtcCO2和PtcO2）。在这些情况下，PtcO2与PaO2以及PtcCO2与PaCO2均具有相关性，相关系数分别为0.964和0.793。纤维支气管镜检查导致PtcO2平均下降42±2.57 mmHg，PtcCO2平均升高12.1±1.89 mmHg；这两个参数在检查后迅速恢复到初始值。动态心电图监测显示七名患者中有五名出现心律失常。连续测量PtcO2和PtcCO2是监测接受纤维支气管镜检查的机械通气患者的一种安全可靠的方法。