Il'iashenko K K
Anesteziol Reanimatol. 1995 May-Jun(3):20-2.
Oxygen-transporting function of the blood was studied in 137 patients in the early period of acute poisoning. Four groups of disorders of this function were distinguished: elevated oxygen consumption in parallel with high oxygen transport; increased oxygen consumption at normal oxygen transport; low oxygen consumption at low oxygen transport and increased coefficient of oxygen extraction by tissues; and low oxygen consumption in parallel with low oxygen transport without compensation. An integral index of oxygen transport efficacy is pvO2. A low pvO2 may be observed in case of inadequate delivery of O2 with the requirement in oxygen increasing. Normal or increased pvO2 at low oxygen consumption and transport may occur both during decreased requirement in O2 and in low cardiac output and centralized circulation. Heart productivity is mainly responsible for the compensation of reduced O2 content in the arterial blood.
对137例急性中毒早期患者的血液氧运输功能进行了研究。区分出该功能的四组紊乱情况:氧消耗增加且氧运输量高;氧运输量正常时氧消耗增加;氧运输量低时氧消耗低且组织氧摄取系数增加;氧消耗低且氧运输量低且无代偿。氧运输效率的一个综合指标是静脉血氧分压(pvO2)。在氧需求增加但氧输送不足的情况下,可能会观察到静脉血氧分压降低。在氧需求减少以及心输出量低和循环集中化时,氧消耗和运输量低的情况下,静脉血氧分压可能正常或升高。心脏的泵血能力主要负责代偿动脉血中氧含量的降低。