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Which blood oxygen can sensitively indicate shock severity?

机译:哪种血氧可以敏感地表明休克的严重程度?

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摘要

Clinical shock-monitoring mainly depends on measuring oxygen saturations from SVC blood samples invasively. The golden standard indicator is the central internal jugular vein oxygenation (SjvO_2). Using near-infrared spectroscopy (NIRS) also can monitor shock in some papers published, but there is no discussion about which oxygen saturation (cerebral venous oxygen saturation, ScvO_2; tissue oxygen saturation of internal jugular area; tissue oxygen saturation of extremities areas) can monitor shock patient more sensitively and accurately. The purpose of this paper is to examine which one is most effective. In order to discuss the problem, we continuously detected 56 critical patients who may be into shock state using NIRS oximeter at prefrontal, internal jugular vein area and forearm, and chose 24 patients who were into shock and then out of shock from the 56 critical patients. Combined with the patients' condition, the pulse oxygen saturation is most sensitively to monitoring shock than the others, and the internal jugular vein area oxygen saturation is most effective.
机译:临床休克监测主要取决于有创地测量SVC血样中的氧饱和度。黄金标准的指标是颈内静脉中央氧合(SjvO_2)。在一些已发表的论文中,使用近红外光谱(NIRS)也可以监视震动,但是没有讨论哪种氧饱和度(脑静脉血氧饱和度,ScvO_2;颈内区域的组织氧饱和度;四肢的组织氧饱和度)可以更灵敏,准确地监控休克病人。本文的目的是研究哪种方法最有效。为了讨论这个问题,我们使用NIRS血氧仪连续检测了56名可能处于休克状态的危重患者,这些患者处于额前,颈内静脉区域和前臂,并从56名危重患者中选择了休克然后休克的24名患者。结合患者的病情,脉搏血氧饱和度对电击的监测最敏感,而颈内静脉区域血氧饱和度最有效。

著录项

  • 来源
  • 会议地点 San Francisco CA(US)
  • 作者单位

    State Key Lab Elect Thin Film Integrated Device and Department of Biomedical Engineering, University of Electronic Science Technology of China, Chengdu 610054, China;

    State Key Lab Elect Thin Film Integrated Device and Department of Biomedical Engineering, University of Electronic Science Technology of China, Chengdu 610054, China;

    State Key Lab Elect Thin Film Integrated Device and Department of Biomedical Engineering, University of Electronic Science Technology of China, Chengdu 610054, China;

    Department of Anesthesiology and Surgical Intensive Care Unit, Xinhua Hospital, Shanghai 200092, China;

    State Key Lab Elect Thin Film Integrated Device and Department of Biomedical Engineering, University of Electronic Science Technology of China, Chengdu 610054, China;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    shock-monitoring; different area; tissue oxygen saturation; near-infrared spectroscopy; shock severity;

    机译:冲击监测不同区域组织氧饱和度;近红外光谱休克严重程度;

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