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正常受试者经皮氧分压对局部动静脉压力梯度的依赖性。

Dependence of transcutaneous oxygen tension on local arteriovenous pressure gradient in normal subjects.

作者信息

Wyss C R, Matsen F A, King R V, Simmons C W, Burgess E M

出版信息

Clin Sci (Lond). 1981 May;60(5):499-506. doi: 10.1042/cs0600499.

DOI:10.1042/cs0600499
PMID:7249535
Abstract
  1. We studied the relationship between transcutaneous oxygen tension at the foot and local arteriovenous pressure difference in 15 normal men and women; arteriovenous pressure difference was varied by changing the height of the foot with respect to the heart and by applying external pressure to the foot. 2. Control transcutaneous oxygen tension was 67 +/- 9 SD mmHg (8.9 +/- 1.2 kPa) at a control arteriovenous pressure difference of 80 +/- 6 SD mmHg (10.6 +/- 0.8 kPa). 3. In every subject transcutaneous oxygen tension fell non-linearly with a decrease in arteriovenous pressure difference; transcutaneous oxygen tension was relatively insensitive to changes in arteriovenous pressure difference when arteriovenous pressure difference was high, but always fell sharply to zero at some positive arteriovenous pressure difference [range 13-34 mmHg (1.7-4.5 kPa)]. 4. An analysis of the data indicated that transcutaneous oxygen tension varied with arteriovenous pressure difference approximately as the oxygen tension of cutaneous venous blood under the sensor varied (in the absence of changes in cutaneous vascular resistance and oxygen consumption). 5. This analysis was supported by studies in three subjects in whom the oxygen tension of superficial venous drainage from a warmed hand or foot was measured along with transcutaneous oxygen tension while arteriovenous pressure difference was varied.
摘要
  1. 我们研究了15名正常男性和女性足部经皮氧分压与局部动静脉压差之间的关系;通过改变足部相对于心脏的高度以及对足部施加外部压力来改变动静脉压差。2. 在控制动静脉压差为80±6标准差毫米汞柱(10.6±0.8千帕)时,对照经皮氧分压为67±9标准差毫米汞柱(8.9±1.2千帕)。3. 在每个受试者中,经皮氧分压随动静脉压差的降低呈非线性下降;当动静脉压差较高时,经皮氧分压对动静脉压差的变化相对不敏感,但在某个正动静脉压差[范围为13 - 34毫米汞柱(1.7 - 4.5千帕)]时总是急剧降至零。4. 数据分析表明,经皮氧分压随动静脉压差的变化大致与传感器下方皮肤静脉血的氧分压变化相同(在皮肤血管阻力和氧消耗无变化的情况下)。5. 三名受试者的研究支持了这一分析,在这些研究中,在改变动静脉压差的同时,测量了温热手部或足部浅表静脉引流的氧分压以及经皮氧分压。

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