Dab tsi yog cov ntsiab lus oxygen venous?
Dab tsi yog cov ntsiab lus oxygen venous?

Video: Dab tsi yog cov ntsiab lus oxygen venous?

Video: Dab tsi yog cov ntsiab lus oxygen venous?
Video: Delivery of Oxygen to Tissues Explained Clearly by MedCram.com 2024, Lub rau hli ntuj
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Sib xyaw venous oxygen saturation (SvO2) yog qhov feem pua ntawm oxygen khi rau hemoglobin hauv ntshav rov mus rau sab xis ntawm lub plawv. Qhov no refects tus nqi ntawm oxygen "tshuav" tom qab cov ntaub so ntswg tshem tawm qhov lawv xav tau. Nws tuaj yeem siv los txheeb xyuas cov kev hloov pauv hauv tus neeg mob cov ntaub so ntswg oxygen rho tawm.

Ib yam li ntawd, qhov ntau npaum li cas rau SvO2?

Kev sib xyaw ntawm cov leeg ntshav tuaj yeem pab txheeb xyuas cov ntaub so ntswg xa cov pa oxygen. Los ntawm qhov sib npaug no, ib tus tuaj yeem pom qhov ntawd SvO2 sib txawv ncaj qha nrog SaO2, Hg, lub plawv tso tawm thiab rov qab nrog VO2. Cov normal SWV 2 yog 65-75%, uas txhais tau hais tias cov ntaub so ntswg oxygen extraction yog 25-35%. Li qub PvO2 yog 35-45mmHg.

Tsis tas li ntawd, yog SvO2 siab lossis qis hauv sepsis? Tshaj tawm cov qib ib txwm rau SvO2 sib txawv ntawm 60-80%; ib txwm SvO2 ntawm 70% feem ntau hais. ScvO2 thiab SvO2 Feem ntau yog qis dua li cov neeg mob hypovolemia (xws li GI hemorrhage) thiab cardiogenic poob siab, lossis qis -flows xeev; lawv feem ntau yog siab hauv cov neeg uas muaj kev poob siab faib tawm (piv txwv li, septic shock ).

Hais txog qhov no, vim li cas thiaj yuav SvO2 siab?

nce kev siv oxygen tau coj mus rau ib SvO2 <60%. Thaum sib npaug ntawm cov pa oxygen thiab xav tau yog raug hem, lub cev npaj nws cov txheej txheem them nyiaj los xyuas kom muaj cov pa oxygen txaus. Ob qhov tseem ceeb tshaj plaws yog nce hauv kev tso tawm lub plawv thiab nce cov pa tawm.

Dab tsi yog qhov txawv ntawm cov ntshav venous thiab cov ntshav sib xyaw?

Tseeb ntshav sib xyaw ua ke yog muab los ntawm lub pas dej ua ke cov ntshav nkag mus rau hauv pulmonary hlab ntsha ntawm tus yawm cov leeg hauv hauv siab. Nws muaj ntshav uas tau hla tag nrho cov kab mob capillary txaj muaj peev xwm tshem tawm cov pa oxygen, thiab kom huv si sib xyaw los ntawm txoj cai ventricle.

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