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[慢性粒细胞白血病急性加重患者的控制通气。病例报告(作者译)]

[Controlled ventilation in a patient with acute exacerbation of a chronic myeloic leucaemia. A case report (author's transl)].

作者信息

Schenk H D, Kahles H W, Radke J

出版信息

Anaesthesist. 1980 Mar;29(3):157-8.

PMID:6929658
Abstract

High counts of myeloid cells lead to erroneous results of blood gas measurements due to high rate of metabolism. This in vitro metabolism simulates hypoxaemia in the common chemical analyses. Therefore problems in the correct interpretation of blood gas measurements during controlled ventilation may arise, demonstrated in our case report of a patient with chronic myeloid leucaemia in acute stage. Immediate blocking of blood oxydative phosphorylation in the sample withdrawn is necessary in order to determine actual values which are important for adequate artificial ventilation.

摘要

由于代谢率高,髓细胞数量过多会导致血气测量结果出现误差。这种体外代谢在常见化学分析中模拟低氧血症。因此,在控制通气期间,血气测量结果的正确解读可能会出现问题,我们关于一名急性期慢性髓性白血病患者的病例报告就证明了这一点。为了确定对充分人工通气至关重要的实际值,必须立即阻断所采集样本中的血液氧化磷酸化过程。

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