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经皮氧分压测量中血流的估计

Estimation of blood flow in transcutaneous PO2 measurements.

作者信息

Jaszczak P, Poulsen J

出版信息

Acta Anaesthesiol Scand. 1983 Apr;27(2):174-80. doi: 10.1111/j.1399-6576.1983.tb01930.x.

Abstract

A method for estimation of the cutaneous blood flow in transcutaneous PO2 measurements is presented. Recordings of electrode and skin temperature make it possible to compute the effect dissipated to the circulating blood. Eighteen measurements were performed on three healthy volunteers at electrode temperature settings from 37.0 degrees C to 45.0 degrees C. The blood-flow estimates ranged from 0.07 to 0.19 ml . cm-2 . min-1. At an electrode temperature of 45.0 degrees C the investigations showed a tc-PO2 value as low as 7 mmHg (0.9 kPa) which, however, corresponded well to the lowest blood-flow estimate determined. The temperature-corrected (37 degrees C) a-PO2-tc-PO2 gradient ranged from 50 mmHg to 95 mmHg (6.7-12.6 kPa). The investigations confirm the importance of simultaneous determinations of cutaneous blood flow, capillary temperature and cutaneous oxygen consumption in order to describe the connection between arterial and cutaneous oxygen tension. The cutaneous blood flow seems in this connection to be the most important parameter.

摘要

本文介绍了一种在经皮氧分压测量中估算皮肤血流的方法。记录电极温度和皮肤温度能够计算出散失到循环血液中的热量。在三名健康志愿者身上进行了18次测量,电极温度设置范围为37.0℃至45.0℃。血流估算值在0.07至0.19毫升·厘米⁻²·分钟⁻¹之间。在电极温度为45.0℃时,研究显示经皮氧分压值低至7 mmHg(0.9 kPa),不过,这与所确定的最低血流估算值吻合良好。温度校正(37℃)后的动脉血氧分压-经皮氧分压梯度在50 mmHg至95 mmHg(6.7 - 12.6 kPa)之间。这些研究证实了同时测定皮肤血流、毛细血管温度和皮肤氧消耗对于描述动脉氧分压与皮肤氧分压之间关系的重要性。在这方面,皮肤血流似乎是最重要的参数。

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