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分娩期间胎儿经皮二氧化碳分压的正常范围。

Normal range of fetal transcutaneous carbon dioxide tension during labour.

作者信息

Nickelsen C, Weber T

机构信息

Department of Obstetrics and Gynaecology, Rigshospitalet, University of Copenhagen, Denmark.

出版信息

Br J Obstet Gynaecol. 1988 Mar;95(3):257-64. doi: 10.1111/j.1471-0528.1988.tb06866.x.

Abstract

Fetal transcutaneous carbon dioxide tension (tc-PCO2) was monitored during 122 deliveries, using an electrode temperature of 44 degrees C in 80 cases and of 41 degrees C in 42 cases. Significant correlations between tc-PCO2 and umbilical artery blood PCO2 were found using both electrode temperatures, but the regression lines indicated a larger and more inconstant CO2-contribution from skin metabolism when the low electrode temperature was used. Normal range of tc-PCO2 was calculated at 41 degrees C and 44 degrees C electrode temperatures. Mean values of fetal tc-PCO2 were found to increase during normal labour, and especially in fetuses developing acidosis, but only four of six infants born with acidaemia had tc-PCO2 values exceeding the normal range.

摘要

在122例分娩过程中监测胎儿经皮二氧化碳分压(tc-PCO2),80例使用电极温度为44℃,42例使用电极温度为41℃。使用这两种电极温度时,均发现tc-PCO2与脐动脉血PCO2之间存在显著相关性,但回归线表明,使用低电极温度时,皮肤代谢产生的二氧化碳贡献更大且更不稳定。计算了电极温度为41℃和44℃时tc-PCO2的正常范围。发现胎儿tc-PCO2的平均值在正常分娩期间会升高,尤其是在发生酸中毒的胎儿中,但6例患有酸血症的婴儿中只有4例的tc-PCO2值超过正常范围。

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