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[肝素及血液稀释对血气分析结果的影响(作者译)]

[The influence of heparin and dilution of the results of blood gas analyses (author's transl)].

作者信息

Koch C D, Bowdler I, Kilian J

出版信息

Anasth Intensivther Notfallmed. 1981 Oct;16(5):258-61.

PMID:7304865
Abstract

The results of blood gas analyses are affected by the type and length of storage of the sample and by differences in dilution and heparin concentration. Experiments established that keeping the specimen in iced water for one hour had no effect. Increasing the heparin concentration affected the results less than did dilution of the sample despite the acidity of the solution. If, on the other hand, heparin in powder form was employed (Monovette) the results were influenced by the absence of dilution of the sample and by the different type of heparin used. This particularly affected the acid-base balance and has to be taken into account when evaluating the results. The use of heparin Monovette simplifies the technique of taking blood samples as there is no need to fill the dead space and it provides reproducible results as the problem of differences in dilution does not arise.

摘要

血气分析结果受样本储存类型、储存时长、稀释差异及肝素浓度的影响。实验表明,将标本置于冰水中一小时并无影响。尽管溶液呈酸性,但增加肝素浓度对结果的影响小于样本稀释。另一方面,如果使用粉末状肝素(单通道采血管),结果会受到样本未稀释以及所用肝素类型不同的影响。这尤其会影响酸碱平衡,在评估结果时必须予以考虑。使用单通道采血管简化了采血技术,因为无需填充死腔,且由于不存在稀释差异问题,可提供可重复的结果。

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