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新生儿呼吸窘迫综合征经皮氧分压测量(作者译)

[Transcutaneous measurements of pO2 in newborns with RDS (author's transl)].

作者信息

Haschke F, Häckel F, Hohenauer L

出版信息

Klin Padiatr. 1976 Jan;188(1):73-81.

PMID:943670
Abstract

pO2 was measured transcutaneously (commercially available Clark Electrode, Bioelectronics Roche) with two different electrode temperatures in new born infants. The correlation between paO2 (arteria radialis) and ptcO2 was bad (r= 0,74) with electrode temperature of 42 degrees C. When the electrode was heated to 44 degrees C there was a very good correlation (r= 0,969) in 80 simultaneous measurements of paO2 (umbilical arterial catheter) and ptcO2. The mean values and standard deviations of pO2 values in hypoxic, normoxic and hyperoxic states are very similar: hypoxic: paO2 34,3 "/- 7,9, ptcO2 35,2 +/- 14,0, normoxic: paO2 78,7 +/- 14,3 ptcO2 78,8 +/- 16,7, hyperoxic: paO2 141,8 +/- 37,1, ptcO2 134,4 +/- 40,8 mmHg). The specific advantage of transcutaneous measurements is the trend registration for hours. With electrodes temperatures of 44 degrees C however, there is a risk of superficial burns if the electrode is attached to the identical site for 6 hours or more.

摘要

在新生儿中,使用两种不同的电极温度经皮测量氧分压(pO2)(市售的克拉克电极,罗氏生物电子公司)。当电极温度为42摄氏度时,动脉血氧分压(paO2,桡动脉)与经皮氧分压(ptcO2)之间的相关性较差(r = 0.74)。当电极加热到44摄氏度时,在80次同时测量脐动脉导管paO2和ptcO2时,两者具有非常好的相关性(r = 0.969)。低氧、正常氧和高氧状态下pO2值的平均值和标准差非常相似:低氧:paO2 34.3±7.9,ptcO2 35.2±14.0;正常氧:paO2 78.7±14.3,ptcO2 78.8±16.7;高氧:paO2 141.8±37.1,ptcO2 134.4±40.8(mmHg)。经皮测量的特殊优势在于能够记录数小时的变化趋势。然而,当电极温度为44摄氏度时,如果电极在同一部位附着6小时或更长时间,存在皮肤表面烧伤的风险。

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