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冠状动脉手术期间及术后患者的气相色谱法在线血气分析

Inline blood gas analysis by gas chromatography in patients during and after coronary artery surgery.

作者信息

Moffitt E A, McLaren R G, Imrie D D, Allen C T, Kinley C E, Parrott J C

出版信息

Can Anaesth Soc J. 1979 May;26(3):157-63. doi: 10.1007/BF03006974.

Abstract

A system was evaluated of measuring Pao2 and Pao2 by an inline sensor in the brachial artery and gas chromatography. Eight patients having coronary artery vein grafts were studied during anaesthesia, operation, perfusion and for 24 hours afterward. Compared to conventional blood gas analysis by polarography (electrodes), the chromatographic method gave readings for Pao2 which were not significantly different during normothermia. During hypothermic perfusion, the chromatographic system read significantly higher than the bench electrode, due at least in part to a difference in temperature correction. For Pao2 the correlation between the two methods was close and differences were clinically insignificant. The Sentorr blood-gas analyser provides a sensitive, accurate indicator of changes in oxygenation, ventilation and circulation during anaesthesia and in the intensive care unit.

摘要

对一种通过肱动脉内传感器和气相色谱法测量动脉血氧分压(Pao2)和动脉血氧含量的系统进行了评估。研究了8例接受冠状动脉静脉搭桥术的患者在麻醉、手术、灌注期间及术后24小时的情况。与传统的极谱法(电极法)血气分析相比,色谱法在常温下测得的动脉血氧分压读数无显著差异。在低温灌注期间,色谱系统的读数明显高于台式电极,这至少部分归因于温度校正的差异。对于动脉血氧含量,两种方法之间的相关性密切,差异在临床上无显著意义。Sentorr血气分析仪为麻醉期间和重症监护病房的氧合、通气和循环变化提供了灵敏、准确的指标。

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