Baum J D, Bulpitt C J
Arch Dis Child. 1970 Jun;45(241):350-3. doi: 10.1136/adc.45.241.350.
Retinal vessels of newborn and premature infants were photographed under conditions of increasing arterial oxygen tension and the changes in vessel diameter were measured. In 6 infants studied, there was a consistent pattern of vasoconstriction with rise in Po. The reduction in calibre could be measured, but was not detectable by viewing the retina, unless photographs taken at low and high Po were viewed side by side. Frank retinal vasospasm did not occur even at a Po of 250 mm. Hg. It was concluded that ophthalmoscopy did not provide an alternative to direct frequent measurement of Po in premature infants receiving oxygen therapy.
在动脉血氧张力不断升高的条件下,对新生儿和早产儿的视网膜血管进行拍照,并测量血管直径的变化。在研究的6名婴儿中,随着氧分压(Po)升高,出现了一致的血管收缩模式。可以测量管径的缩小,但除非将低氧分压和高氧分压下拍摄的照片并排查看,否则通过观察视网膜无法检测到这种缩小。即使在氧分压为250毫米汞柱时,也未发生明显的视网膜血管痉挛。得出的结论是,在接受氧疗的早产儿中,检眼镜检查不能替代直接频繁测量氧分压。