危重病患者周围动脉和中心静脉血气检测的意义

Value of Peripheral Arterial and Central Venous Blood Gas Testing in Critically Ill Patients

目的研究分析危重患者周围动脉以及中心静脉血气检测的临床效果,为临床危重患者的治疗提供参考。方法根据我院接收的ICU住院患者51例来进行研究探讨,以纽约心脏病学会心功能分级指标作为此次研究分组的依据,将患者分组为三组,对比患者的中心静脉以及周围动脉血气检测结果。结果临床检测结果显示,心功能正常以及心衰程度较轻的患者,其中心静脉和周围动脉血气酸碱平衡状态没有显著差异性。而重度患者以及循环衰竭患者的中心静脉和周围动脉结果有明显差异。结论重度心衰以及循环衰竭患者,通过动脉血气检测无法完全将患者组织内的酸碱情况进行反映出来,通过动静脉的检测,能够更加全面的揭示患者的酸碱平衡情况,因此临床中危重患者接受中心静脉和周围动脉血气检测的临床意义重大。

Objective To study the effect of peripheral arterial and central venous blood gas testing in critical ill patients,to provide reference for clinical treatment of critically ill patients. Methods We received 51 hospitalized patients in ICU,using New York Heart Association Functional Class Indicators as the basis,patients were grouped into three groups,central venous and peripheral arterial blood gas test results were compared. Results The normal heart function and lesser extent patients with heart failure,venous and arterial blood gas around the central base balance state had no significant difference. The severe patients and patients with circulatory failure,there were significant differences of central venous and peripheral arterial results. Conclusion The severe heart failure and circulatory failure in patients with arterial blood gas monitoring does not reflect the patient＇s p H value. Automatically detects veins can be more fully reveal the patient＇s acid-base balance,and therefore critically ill patients receiving central venous and peripheral arterial blood gas examination has clinical value.