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经皮二氧化碳分压与胎儿血液相应值之间的相关性——在39摄氏度测量温度下的一项研究

Correlation between transcutaneous pCO2 and the corresponding values of fetal blood--a study at a measuring temperature of 39 degrees C.

作者信息

Schmidt S, Langner K, Gesche J, Dudenhausen J W, Saling E

出版信息

Eur J Obstet Gynecol Reprod Biol. 1984 Aug;17(6):387-95. doi: 10.1016/0028-2243(84)90004-2.

DOI:10.1016/0028-2243(84)90004-2
PMID:6436081
Abstract

Continuous transcutaneous monitoring of fetal carbon dioxide partial pressure (tcpCO2) may become an important new method for investigating the physiology and pathophysiology of the fetus during labor, as well as an additional tool for fetal surveillance. In order to contribute to the standardization of this newly developed method, we measured tcpCO2 during labor in 105 fetuses. We then compared the transcutaneous pCO2 with the pCO2 of fetal blood gas analysis; the correlation between these two parameters was significant. The relationship between transcutaneous pCO2 and the pH from fetal scalp blood is described, as is the influence of the stage of labor on the correlation between transcutaneous monitoring and blood samples. tcpCO2 during labor appears to be a helpful additional tool, especially in fetuses with pathologic heart rate patterns in whom multiple fetal blood gas analysis would otherwise be necessary.

摘要

持续经皮监测胎儿二氧化碳分压(tcpCO2)可能成为研究分娩期间胎儿生理和病理生理的一种重要新方法,也是胎儿监护的一种辅助工具。为了推动这种新开发方法的标准化,我们对105例胎儿分娩期间的tcpCO2进行了测量。然后我们将经皮二氧化碳分压与胎儿血气分析的二氧化碳分压进行了比较;这两个参数之间的相关性显著。文中描述了经皮二氧化碳分压与胎儿头皮血pH值之间的关系,以及分娩阶段对经皮监测与血样之间相关性的影响。分娩期间的tcpCO2似乎是一种有用的辅助工具,尤其是对于那些心率模式异常、否则需要多次进行胎儿血气分析的胎儿。

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