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心脏直视手术期间全血钾浓度的在线连续电位测定

On-line continuous potentiometric measurement of potassium concentration in whole blood during open-heart surgery.

作者信息

Osswald H F, Asper R, Dimai W, Simon W

出版信息

Clin Chem. 1979 Jan;25(1):39-43.

PMID:761376
Abstract

We describe a flow-through system with an ion-selective electrode for measurement of blood potassium ion concentration, continuously and on-line off the extracorporeal blood circulation in an operating theater during human open-heart surgery. Comparison measurements were made with the SMA flame photometer (blood plasma) and an Orion SS 30 sodium/potassium analyzer (whole blood). The potassium concentration values obtained with the flow-through system agree well with the ones determined with the flame photometer. The time delay of the measurement with the flow-through system was relatively long (2 min) but delays of only 10--20 s seem feasible. Short time delays can deepen insight and simplify rational treatment under surgery conditions.

摘要

我们描述了一种带有离子选择性电极的流通系统,用于在人体心脏直视手术期间,在手术室的体外血液循环之外连续、在线地测量血钾离子浓度。使用SMA火焰光度计(血浆)和奥立龙SS 30钠/钾分析仪(全血)进行了对比测量。通过流通系统获得的钾浓度值与用火焰光度计测定的值吻合良好。流通系统的测量时间延迟相对较长(2分钟),但仅10 - 20秒的延迟似乎是可行的。短时间延迟可以加深对手术情况的了解并简化合理治疗。

相似文献

1
On-line continuous potentiometric measurement of potassium concentration in whole blood during open-heart surgery.心脏直视手术期间全血钾浓度的在线连续电位测定
Clin Chem. 1979 Jan;25(1):39-43.
2
Direct potentiometric measurement of sodium and potassium in whole blood.全血中钠和钾的直接电位测定法
Clin Chem. 1977 Oct;23(10):1912-6.
3
Evaluation of a direct potentiometric method for sodium and potassium used in the Du Pont aca.对杜邦自动化学分析仪中使用的钠和钾直接电位测定法的评估。
Clin Chem. 1983 Jun;29(6):1090-2.
4
More on direct potentiometry--the ion-selective electrode vs flame photometry.更多关于直接电位分析法——离子选择性电极与火焰光度法的比较。
Clin Chem. 1980 Dec;26(13):1921-4.
5
Use of electrochemical sensors for on-line monitoring of ionized calcium, potassium, and glucose in whole blood of living dogs.使用电化学传感器对活体犬全血中的离子钙、钾和葡萄糖进行在线监测。
Clin Chem. 1980 Sep;26(10):1425-9.
6
Evaluation of an instrument (Nova-1) for direct potentiometric analysis of sodium and potassium in blood and their indirect potentiometric determination in urine.
Clin Chem. 1979 May;25(5):757-63.
7
[Measurement of sodium and potassium: comparison of direct-potentiometric value with indirect-potentiometric and flame-photometric values].
Zhonghua Yi Xue Za Zhi (Taipei). 1987 May;39(5):333-8.
8
[Application of ion-selective electrodes for determining ion concentration in blood of irradiated rabbits].[离子选择电极在测定受辐照兔血液中离子浓度方面的应用]
Ukr Biokhim Zh. 1977 Jul-Aug;49(4):112-7.
9
Influence of erythrocytes on direct potentiometric determination of sodium and potassium.红细胞对钠和钾直接电位测定的影响。
Ann Clin Biochem. 1983 Mar;20 Pt 2:116-20. doi: 10.1177/000456328302000211.
10
Determination of Na+ and K+ in urine with ion-selective electrodes in an automated analyzer.在自动分析仪中使用离子选择电极测定尿液中的钠和钾。
Clin Chem. 1975 Oct;21(11):1572-4.

引用本文的文献

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Sens Actuators B Chem. 1999 Nov;60(1):8-18. doi: 10.1016/s0925-4005(99)00235-x. Epub 2000 Jan 11.
2
Online patient-monitoring system for the simultaneous analysis of blood K+, Ca2+, Na+ and pH using a quadruple-function ChemFET integrated-circuit sensor.
Med Biol Eng Comput. 1985 Jul;23(4):329-38. doi: 10.1007/BF02441586.
3
Continuous clinical monitoring with ion-selective electrodes. A feasible or desirable objective?使用离子选择电极进行连续临床监测。这是一个可行的或理想的目标吗?
Intensive Care Med. 1986;12(2):104-7. doi: 10.1007/BF00254521.