Cerebral venous oxygen saturation studied with bilateral samples in the internal jugular veins.

Cerebral venous oxygen saturation studied with bilateral samples in the internal jugular veins.
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使用颈内静脉的双侧样本研究脑静脉氧饱和度。

DOI:
10.1097/00006123-199401000-00007
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发表时间:
1994
期刊:
影响因子:
4.8
通讯作者:
Paolo Zuccoli
Paolo Zuccoli
中科院分区:
医学1区
文献类型:
--
作者:
Nino Stocchetti;A. Paparella;Franca Bridelli;Marisa Bacchi;Paolo Piazza;Paolo Zuccoli

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目前文献报道了许多测量方法(动静脉氧含量差和脑氧代谢率等)。从颈内静脉(IJs)的样本,从颈部的两侧获得,基于可以抽取可靠的混合静脉血样本的假设。我们比较了32例头部外伤患者两条颈内静脉的血氧饱和度,以确定两条静脉的相似性或差异性。两个IJ都用20-G导管插管;在5名患者中,使用光纤导管连续记录血红蛋白饱和度。从两名IJ同时采集血样并立即处理;处理的样本总数为342份,平均每名患者5.34份配对样本。两个IJs的饱和度之间的差异的平均值和标准差分别为5.32和5.15。15例患者的血红蛋白饱和度差异大于15%;另有3例患者在研究期间的某个时间点差异大于10%。最终,只有8名患者的差异小于5%。在计算机断层扫描数据和检测到的血红蛋白饱和度模式之间没有发现任何关系。因此,我们无法确定更适合监测双侧、主要是单侧、皮质或深部病变患者的一侧。(250字处删节)
The current literature reports many measurements (arteriovenous oxygen content difference and cerebral metabolic rate of oxygen, etc.) with samples from the internal jugular veins (IJs), obtained from either side of the neck, based on the assumption that a reliable sample of mixed venous blood can be drawn. We compared oxygen saturation in both IJs in 32 patients with head injuries to establish the similarities or discrepancies in the two veins. Both IJs were cannulated with 20-G catheters; in five patients, a fiberoptic catheter was used to obtain a continuous recording of the hemoglobin saturation. Blood samples were taken simultaneously from the two IJs and immediately processed; the total number of samples processed was 342, with an average of 5.34 paired samples from each patient. The mean and the standard deviation of the differences between the saturation of the two IJs were, respectively, 5.32 and 5.15. Fifteen patients showed differences greater than 15% in hemoglobin saturation; three more patients showed differences greater than 10% at some point during the investigation. Ultimately, only eight patients had differences of less than 5%. No relationship was found among the computed tomographic scan data and the pattern of hemoglobin saturation detected. Therefore, we were not able to identify the side more appropriate for monitoring in patients with bilateral, predominantly monolateral, cortical, or deeply located lesions.(ABSTRACT TRUNCATED AT 250 WORDS)
DOI: 10.3171/jns.1992.76.2.0212
发表时间: 1992-02-01
影响因子: 4.1
作者:
SHEINBERG, M;KANTER, MJ;GROSSMAN, RG
通讯作者: GROSSMAN, RG
DOI: 10.3171/jns.1990.73.6.0927
发表时间: 1990-12
影响因子: 4.1
作者:
L. Sutton;A. McLaughlin;S. Dante;M. Kotapka;T. Sinwell;E. Mills
通讯作者: L. Sutton;A. McLaughlin;S. Dante;M. Kotapka;T. Sinwell;E. Mills
DOI: 10.3171/jns.1991.75.5.0685
发表时间: 1991-11-01
影响因子: 4.1
作者:
BOUMA, GJ;MUIZELAAR, JP;YOUNG, HF
通讯作者: YOUNG, HF
急性脑损伤中脑血流动力学储备的连续监测:与脑肿胀变化的关系。
DOI: 10.1097/00005373-199205000-00015
发表时间: 1992
期刊: The Journal of trauma
影响因子: --
作者:
Cruz,J;Gennarelli,TA;Alves,WM
通讯作者: Alves,WM