血氧饱和度监测在四肢血管损伤中的应用.DOCVIP

临床医学论文-血氧饱和度监测在四肢血管损伤中的应用 ????????????? 作者：任龙韬 朱慧辉 郭志坚 魏杰?? 【关键词】? 四肢血管损伤 　　【摘要】 目的 探讨血氧饱和度监测在四肢血管损伤中的临床应用。方法 应用瑞士产多功能床旁监护仪对2000年6月～2004年2月对38例因外伤引起的四肢血管损伤病人的患肢连续的血氧饱和度监测，同时采用与健侧肢体的血氧饱和度做对比的方法以及与采用传统的观察方法做比较进行临床观察。结果 多功能床旁监护仪所监测的血氧饱和度反应灵敏、准确，与健侧对照可动态观察到损伤血管血液流动的情况及血管恢复的程度。与传统方法比较，更能早期有效地发现血管危象的发生。结论 血氧饱和度的监测是一种使用方便、操作简单、无创伤、无痛苦的监测方法，是辅助评价血管损伤后修复效果的良好参数指标，连续的观察有助于早期发现血管危象的发生及预测修复血管的转归。 　　关键词 血氧饱和度 监测 四肢血管损伤 应用????? 　　The practical reseach on blood oxygen saturation monitor in? the patients with limb blood vessel trauma?????? 　　【Abstract】 Objective To probe into the clinic application of blood oxygen saturation monitor in the cases with limb blood vessel trauma.Methods From June2000to February2004，injured limbs of38cases with limb blood vessel trauma were continuously inspected through blood oxygen saturation monitor，which were measured by multiˉfunction bedside monitor instrument made in Switzerland.The results were compared with healthy side limb and tradiˉtional means.Results Blood oxygen saturation inspected by multifunction bedside monitor instrument were sensitiveand exact，at the same time blood flow in the injured blood vessel can be observed dymically.In comparison with the traditional ways blood vessel crisis could be found early.Conclusion Blood oxygen saturation monitor is a useful monitor means，which is convinious，operated simply，no trauma and no pain.It is effective parameter that can be used to evaluate blood vessel restoration effect.If continuous observation is done，it can help to discover blood vessel crisis and forecast result of repaired blood vessel.??? 　　Key words blood oxygen saturation monitor limb blood vessel trauma application?? 　　四肢血管损伤后一般采用观察皮温、颜色、毛细血管充盈试验等传统方法观察。应用经皮测定血氧饱和度（SpO 2 ）的监测手段来观察血管危象的发生国内目前尚未见报道。笔者采用多功能床旁监护仪对38例血管损伤的患肢进行连续的SpO 2 监测，对血管修复术后血管危象的发生、早期发现及其转归进行了观察、分析和总结，获得了较满意的效果。??? 　　1 资料与方法??? 　　1.1 一般资料 本组38例，男33例，女5例，年龄18～55岁，均为外伤伴血管损伤急诊入院，在1～26h内行动、静脉探查术。其中肱动脉损伤6例，腋动脉损伤3例，股动脉损伤6例，动脉损伤13例，桡动脉断裂2例，尺动脉损伤5例，断指再植3例。术中除尺