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[经皮血气监测的可能性]

[Possibilities of transcutaneous monitoring of blood gases].

作者信息

Osipova N A, Vetsheva M S, Petrova V V, Donskova Iu S, Sergeeva I E

出版信息

Anesteziol Reanimatol. 1997 Mar-Apr(2):10-3.

PMID:9221676
Abstract

The authors analyze the experience gained in noninvasive transcutaneous monitoring of blood gases ptkO2 and ptkCO2 (MICROGAS device, Contron, France) in 33 oncological patients during surgery with irradiation of the operation wound (n = 13) under conditions of total intravenous anesthesia (TIA) with artificial ventilation of the lungs with a hypoxic respiration mixture (FiO2 10%) and during surgery for breast cancer under TIA with spontaneous respiration (n = 20). Transcutaneous monitoring was found to be a sensitive rapidly reacting method, more informative than pulsed oximetry, for intraoperative hypoxyradiotherapy with long-distance monitoring of a patient; under such conditions it can be the only possible method for monitoring the preset level of pO2. The results of measuring ptkO2 and ptkCO2 are close to the values in the arterial blood.

摘要

作者分析了33例肿瘤患者在手术过程中的血气ptkO2和ptkCO2无创经皮监测经验(MICROGAS设备,法国康特龙公司)。其中13例患者在全静脉麻醉(TIA)下,使用低氧呼吸混合气(FiO2 10%)进行肺人工通气,并对手术伤口进行照射;20例患者在TIA下进行乳腺癌手术,自主呼吸。经皮监测被发现是一种敏感的快速反应方法,比脉冲血氧饱和度测定更具信息性,适用于术中低氧放疗时对患者进行远距离监测;在这种情况下,它可能是监测预设pO2水平的唯一可行方法。测量ptkO2和ptkCO2的结果与动脉血中的值接近。

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