| 杨洪 徐文举 郭蕾 孙羽飞 王玲.股动脉及股静脉血气在烧伤脓毒症患者早期诊断价值[J].,2015,15(24):4751-4753 |
| 股动脉及股静脉血气在烧伤脓毒症患者早期诊断价值 |
| The Early Diagnosis Value of Femoral Artery and Vein Blood Gas in Patientswith Burn Sepsis |
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| DOI： |
| 中文关键词: 股动脉 股静脉 血气分析 烧伤脓毒症 诊断价值 |
| 英文关键词: Femoral artery Femoral vein Blood gas analysis Burn sepsis Diagnostic value |
| 基金项目: |
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| 中文摘要: |
| 目的：探索股动脉及股静脉血气对烧伤脓毒症患者早期诊断价值。方法：选择自2009 年7月至2014 年12 月我院收治的特
重烧伤患者80 例，根据是否患有脓毒症，将35例脓毒症患者作为观察组，45 例非脓毒症患者作为对照组。在所有患者左侧股动
脉、股静脉置管，并抽血，进行血气分析。结果：动脉血气分析中观察组患者股动脉血中HCO3
-水平明显低于对照组，且差异具有
统计学意义（P<0.05）；静脉血气分析中观察组患者股静脉血中PvCO2显著高于对照组，PvO2、SvO2、HCO3
- 水平明显低于对照组，
且差异均具有统计学意义（P<0.05）。观察组患者的DPO2、DPCO2、DSO2、DHCO3
-、DpH水平均显著高于对照组，且差异均具有统计
学差异（P<0.05）。结论：股动脉和股静脉血气分析可反映出机体组织的血流灌注情况及氧的供需状态，对烧伤脓毒症患者早期诊
断具有重要价值。 |
| 英文摘要: |
| Objective:To explore the early diagnosis value of femoral artery and vein blood gas in patients with burn sepsis.Methods:According to whether the patients with sepsis, from July 2009 to December 2014, 80 cases of patients with extra heavy burn. There
were 35 patients with sepsis in observation group, while there were 45 cases of patients without sepsis as control group.The left femoral
artery and vein were cathetered in all patients, blooding and analysising the blood gas.Results:The HCO3
- level of femoral artery in the
observation group was significantly lower than the control group in arterial blood gas analysis, which the difference was statistically significant
(P<0.05); the PvCO2 level in the observation group of patients was significantly higher than the control group, while the levels of
PvO2, SvO2, HCO3
-were significantly lower than the control group in the vein blood gas analysis,which the differences were statistically
significant (P<0.05). The levels of DPO2, DPCO2, DSO2, DHCO3
-,DpH in observation group of patients were significantly higher than that
of control group, which the differences were statistically difference (P<0.05).Conclusion:Femoral artery and venous blood gas analysis
can reflect the blood perfusion and oxygen supply and demand state of body tissues, which has important value for early diagnosis of patients
with burn sepsis. |
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