失血性休克时胃粘膜内pH与组织氧合监测的实验研究.pdfVIP

200 1 8 August , 200 1 8 4 Nanfang Journal N ursing V ol. 8 N o . 4 7 失血性休克时胃粘膜内pH 与组织氧合监测的实验研究 陶 红, 庹 焱, 厉 瑛 ( , 200433) [ ] pH , PCO 2 HCO3- , HendersonH asselbalch pH ( pHi ) , ( L ac ) , pHi ( L ac ) , ( r= - p p 0. 88) pHi , pHi pHi , [ ] pH [ ] R602 [ ] A [ ] 1008- 9969( 200 1) 04- 0007- 03 Experimental studies of gastricintramucosal pH and tissue oxygenation at hemorrhagic shock T A O Hong, T U O Yan , L I Y ing ( Dep t . of N u rsi ng , the Second M i li tary M edical Univ ers ity , S hanghai 200433, Chi na) Abstract Objective T o f ind out t he relat ionship betw een gast ric int ramuco sal pH and int est inal t issue oxygenation. Methods A simult aneous de - t erminat ion of art erial blood HCO 3 concent rat ion and intraluminal PCO 2 was conduct ed t o calculat e gast ric int ramuco sal pH( pHi) by using Henderson- Hasselbalch equat ion. Results T here was a great decrease in pHi and portal lact at e concentrat ion ( L ac ) at hemorrhagic shock . pHi reflected not only p t he int estinal t issue oxy genat ion but also t he syst emic oxygenat ion, and it correlated markedly w ith gast roint estinal muco sal damage. Conclusion pH i may be a good paramet er t o indicate t he adequacy of t issue oxy genat ion and it may be a good index in crit ical care . Key ords: h emorrhagic shock gastric intramucosal pH lactate oxy genat ion , , : 8 kPa( 60 m mHg ) , 1 , H+ CO2 , h , :