术后血氧饱和度的监测在严重腹腔感染患者中的临床意义

CLINICAL SIGNIFICANCE OF THE MONITORING OF POSTOPERATIVE BLOOD OXYGEN SATURATION IN PATIENTS WITH SEVERE ABDOMEN INFECTION

作者在外科监护室连续监测了４７例严重腹腔感染患者术后与８０例择期腹部手术患者术后的血氧饱和度的变化，严重腹腔感染组术后的血氧饱和度＜９５％者３３例（７０．２％），择期腹部手术组２２例（２７．５％），Ｐ＜０．０１，成人呼吸窘迫综合征的发生率在严重腹腔感染组为２１．３％（１０／４７），择期手术组为１．２３％（１／８０），二者差异有统计学意义。Ｐ＜０．００１。

e have consecutively monitored postoperative blood oxygen saturation(SaO_2)of 47severe abdomen infection cases and 80 cases of selective abdomen operation in the surgicalICU of Hua Shan Hospital. The result showed that the frequency of low blood oxygen satu-ration is apparently higher in patients with severe abdomen infection than in patients of selec-tive abdomen operation(P<0.01).In addition,we found that patients with severe abdomeninfection had a high incidence of adult respiratory distress syndrome(ARDS),which wascorrelated with hypoxemia(P>0.05).