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在存在通气变化的情况下逐搏血压值的解读。

Interpretation of beat-to-beat blood pressure values in the presence of ventilatory changes.

作者信息

Ellis D M

出版信息

J Clin Monit. 1985 Jan;1(1):65-70. doi: 10.1007/BF02832692.

DOI:10.1007/BF02832692
PMID:4093792
Abstract

When blood pressure is measured invasively in the operating room or intensive care unit, it is reasonable to expect useful systolic, diastolic, and mean pressure values to be displayed at all times. If blood pressure is stable from beat to beat, display of values from any beat will suffice. However, the pressure often fluctuates from beat to beat. Display of values from every beat would yield a confusing jumble of numbers. This article describes an algorithm for selecting values that appear physiological useful from blood pressure waveforms that vary with ventilation. Two classes of variation are discussed. The algorithm is optimized from the type of variation seen in pulmonary artery pressure waveforms.

摘要

当在手术室或重症监护病房进行有创血压测量时,合理的期望是始终显示有用的收缩压、舒张压和平均压值。如果血压逐搏稳定,显示任何一次搏动的值就足够了。然而,血压常常逐搏波动。显示每一次搏动的值会产生一堆令人困惑的数字。本文描述了一种从随通气变化的血压波形中选择看似具有生理意义的值的算法。讨论了两类变化。该算法是根据在肺动脉压力波形中观察到的变化类型进行优化的。

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Patient Prefer Adherence. 2013 Oct 8;7:1041-5. doi: 10.2147/PPA.S52122. eCollection 2013.
2
Correction for respiration artifact in pulmonary blood pressure signals of ventilated patients.通气患者肺血压信号中呼吸伪影的校正
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Accuracy of oscillometric blood pressure measurement in critically ill neonates with reference to the arterial pressure wave shape.

本文引用的文献

1
Improved clinical measurement of pulmonary vascular resistance.肺血管阻力临床测量方法的改进。
Anesthesiology. 1980 Apr;52(4):365-9. doi: 10.1097/00000542-198004000-00019.
2
Variables in pulmonary capillary wedge pressure: variation with intrathoracic pressure, graphic and digital recorders.
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