透析诱导性低氧血症。儿童血氧和二氧化碳分压的连续监测。

Dialysis-induced hypoxemia. Continuous monitoring of blood oxygen and carbon dioxide tension in children.

作者信息

Schurr D, Pomeranz A, Drukker A

出版信息

Nephron. 1984;37(2):105-7. doi: 10.1159/000183223.

Abstract

We report our experience with continuous, transcutaneous monitoring of capillary oxygen and carbon dioxide tension (PtcO2, PTlcCO2 ) during the entire length of hemodialysis treatment in 8 pediatric patients. The relative changes in PtcO2 and PtcCO2 observed with this method were in accordance with those reported in the literature, obtained with frequent arterial blood sampling. There was a temporary fall of PtcO2, averaging 26.2% after 2h of dialysis, with a concomitant rise of PtcCO2 of 9.9%. The noninvasive, transcutaneous measurement of PtcO2 and PtcCO2 is a reliable and valuable adjunct for the monitoring of the dialysis patient who is prone to develop hypoxemia. It is particularly useful in the very young.

摘要

我们报告了对8例儿科患者在整个血液透析治疗过程中进行连续经皮毛细血管氧分压和二氧化碳分压（PtcO2、Pt cCO2）监测的经验。用这种方法观察到的PtcO2和PtcCO2的相对变化与文献中通过频繁采集动脉血样所获得的变化一致。透析2小时后，PtcO2出现暂时下降，平均下降26.2%，同时PtcCO2上升9.9%。PtcO2和PtcCO2的无创经皮测量对于监测易发生低氧血症的透析患者是一种可靠且有价值的辅助手段。它在非常年幼的患者中尤其有用。