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分娩过程中对人类胎儿使用连续组织pH电极的经验。

Experience with continuous tissue pH electrode in the human fetus during labor.

作者信息

Zacutti A, Ciuffi F G

出版信息

Arch Gynecol. 1978 Sep 1;226(1-2):175-80. doi: 10.1007/BF02116745.

Abstract

In our experience the method was reliable in about 80% of the cases. The unsatisfactory reliability in the remaining 20% was partly due to the electrode instability. This problem was solved by using the new type of electrode. It proved suitable for getting stable tracings for longer periods in all the cases we examined. We are unable to give an answer to the other problem regarding the absence of correlation in some cases between the tissue and the blood pH values, got through blood samples taken according to the Saling technique. In these cases, however, the tracing can be used for the recording of pH variations regardless of its absolute values. From our experience the main clinical indication of the method has been found to be in the variable decelerations with normal values of the blood pH. Using this method the frequent repetition of separate blood samplings would be avoided.

摘要

根据我们的经验,该方法在约80%的病例中是可靠的。其余20%可靠性欠佳部分归因于电极不稳定。通过使用新型电极解决了这个问题。在我们检查的所有病例中,它被证明适合在更长时间内获得稳定的描记图。对于通过按照萨林技术采集的血样得出的组织与血液pH值在某些情况下缺乏相关性的另一个问题,我们无法给出答案。然而,在这些情况下,无论其绝对值如何,该描记图都可用于记录pH变化。根据我们的经验,已发现该方法的主要临床适应症是血液pH值正常的变异减速。使用这种方法可以避免频繁重复单独采集血样。

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Continuous recording of fetal pH during labor.
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First experience with continuous pH measurements on fetus during delivery.
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