低血容量性休克和感染性休克液体复苏期间氧输送与氧消耗的关系。

The relationship between oxygen delivery and consumption during fluid resuscitation of hypovolemic and septic shock.

作者信息

Kaufman B S, Rackow E C, Falk J L

出版信息

Chest. 1984 Mar;85(3):336-40. doi: 10.1378/chest.85.3.336.

DOI:10.1378/chest.85.3.336

Abstract

The effects of increasing oxygen delivery (DO2) on oxygen consumption (VO2) in eight patients with septic shock and five patients with hypovolemic shock were studied during fluid resuscitation. In the septic shock group, DO2 increased from 315 +/- 29 to 424 +/- 25 ml/min/m2 (p less than 0.01) and VO2 increased from 134 +/- 8 to 151 +/- 7 ml/min/m2 (p less than 0.01). In the hypovolemic shock group, DO2 increased from 239 +/- 26 to 386 +/- 48 ml/min/m2 (p less than 0.01) and VO2 increased from 96 +/- 9 to 135 +/- 6 ml/min/m2 (p less than 0.01). There was no significant difference in either the increase in DO2 or VO2 between the septic shock and hypovolemic shock patients. We conclude that increasing DO2 by fluid resuscitation increases VO2 during both hypovolemic and septic shock.

摘要

在液体复苏过程中，研究了8例感染性休克患者和5例低血容量性休克患者增加氧输送（DO2）对氧消耗（VO2）的影响。在感染性休克组中，DO2从315±29增加至424±25 ml/min/m2（p<0.01），VO2从134±8增加至151±7 ml/min/m2（p<0.01）。在低血容量性休克组中，DO2从239±26增加至386±48 ml/min/m2（p<0.01），VO2从96±9增加至135±6 ml/min/m2（p<0.01）。感染性休克患者和低血容量性休克患者在DO2或VO2的增加方面均无显著差异。我们得出结论，在低血容量性休克和感染性休克期间，通过液体复苏增加DO2可增加VO2。