Silverman F, Young B K
Gynecol Obstet Invest. 1983;15(5):283-90. doi: 10.1159/000299422.
Continuous transcutaneous measurement of pO2 (tcpO2) has been adapted to fetal and neonatal use, utilizing a noninvasive miniaturized modified Clark pO2 electrode attached to the skin by adhesive. The unprepared ear of the adult female Flemish Giant rabbit was used for attachment of the electrode, and blood for arterial pO2 (apO2) was taken from the auricular artery. The rabbits were gently restrained and unanesthetized. The tcpO2 and pO2 were compared at environmental temperatures of 20-23, 50, and 60 degrees C, in separate experiments. The data demonstrated that tcpO2 is not the same as pO2. It is most clearly related to local blood flow. tcpO2 only indirectly reflects apO2, when peripheral flow is comparable to central flow. Proper use of tcpO2 in the fetus and neonate requires cognizance of blood flow conditions for correct interpretation. tcpO2 is not indicative of apO2 when reduced peripheral circulation is present, in the rabbit ear.
经皮氧分压(tcpO2)的连续测量已适用于胎儿和新生儿,采用通过粘合剂附着在皮肤上的无创小型化改良型克拉克氧电极。成年雌性佛兰德巨兔未做处理的耳朵用于电极附着,动脉血氧分压(apO2)的血液取自耳动脉。兔子被轻轻固定且未麻醉。在20 - 23、50和60摄氏度的环境温度下,分别进行实验比较tcpO2和pO2。数据表明tcpO2与pO2不同。它与局部血流最密切相关。当外周血流与中心血流相当,tcpO2仅间接反映apO2。在胎儿和新生儿中正确使用tcpO2需要了解血流状况以进行正确解读。当兔耳外周循环减少时,tcpO2不指示apO2。