Steinberg J J, Harken A H
Surg Gynecol Obstet. 1981 Feb;152(2):221-2.
There is no claim of precedence in these underrecognized observations. There are risks accepted in the name of precision to obtain arterial blood gases when central venous determinations would be available, safe and more than adequately describe the acid base status of the patient. By subtracting 4.10 torr from the mixed venous carbon dioxide tension and adding 0.06 to the venous pH, the arterial values are quite accurately approximated. A central venous catheter is a safe, convenient, reliable access for the administration of intercardiac medications.
在这些未得到充分认识的观察结果中,不存在优先权的主张。当有中心静脉测定值可用、安全且能充分描述患者酸碱状态时,为获取动脉血气而以精确之名接受了一些风险。通过从混合静脉二氧化碳分压中减去4.10托,并将0.06加到静脉血pH值上,可相当准确地估算出动脉值。中心静脉导管是用于心内给药的安全、方便、可靠的通路。