天津医药

天津医药 ›› 2015, Vol. 43 ›› Issue (1): 72-73.doi: 10.3969/j.issn.0253-9896.2015.01.019

• 临床研究 • 上一篇    下一篇

烧伤脓毒症患者伴行股动脉、股静脉血气变化研究#br#

王车江 1， 刘洪霞 1， 王宜民 2， 孟令敏 1， 张莉 1， 张庆富 1△#br#   

  1. 1 河北医科大学第一医院烧伤整形科（邮编 050031）；2河北省卫生厅考试中心
  • 收稿日期:2014-02-18 修回日期:2014-05-28 出版日期:2015-01-15 发布日期:2015-01-30
  • 通讯作者: 张庆富E-mail:zhangqfdoctor@sohu.com E-mail:zhangqfdoctor@sohu.com
  • 作者简介:王车江（1976）， 男， 主任医师， 硕士， 主要从事烧伤休克和创面修复研究
  • 基金资助:
    河北省卫生厅指令性课题（20130262）

Changes of accompanying femoral artery and vein blood gas analysis in patients with burn sepsis

WANG Chejiang1, LIU Hongxia1,WANG Yimin2, MENG Lingmin1, ZHANG Li1, ZHANG Qingfu1#br# #br#   

  1. 1 Department of Burns and Plastic Surgery, the First Hospital of Hebei Medical University, Shijiazhuang 050031 ,China; 2 Test Center, Health Department of Hebei Province
  • Received:2014-02-18 Revised:2014-05-28 Published:2015-01-15 Online:2015-01-30
  • Contact: E-mail:zhangqfdoctor@sohu.com E-mail:zhangqfdoctor@sohu.com

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摘要： 摘要:目的 探讨烧伤脓毒症患者伴行股动脉、股静脉血气指标检测的意义。 方法 总结 22 例特重度烧伤脓毒症患者（脓毒症组）和 43 例特重度烧伤未出现脓毒症患者（对照组）的资料， 比较 2 组患者股动脉及股静脉血气指标的变化。 结果 动脉血气分析： 脓毒症组碳酸氢根离子（HCO3-）值低于对照组。 静脉血气分析： 脓毒症组中股静脉血二氧化碳分压[p（CO2）]高于对照组， 股静脉血氧饱和度（SvO2）、HCO3-低于对照组（均 P＜ 0.01）。 脓毒症组动、静脉氧分压[p（O2）]差值[Δp（O2）]， 动、静脉 p（CO2）差值[Δp（CO2）] ， 动、静脉 HCO3- 差值（ΔHCO3-）， 动、静脉血氧饱和度差值（ΔSO2）均高于对照组（均 P＜ 0.01）。 结论 烧伤脓毒症患者股静脉血气指标改变明显， 检测股动脉和股静脉血气利于烧伤脓毒症的早期判断。

关键词: 烧伤, 感染, 脓毒症, 血气分析

Abstract: Abstract:Objective To discuss changes of accompanying femoral artery and vein blood gas in patients with burn sep⁃ sis. Methods The retrospective data of twenty-two patients with burn sepsis and forty-three non-sepsis patients (control) was analyzed, and changes of accompanying femoral artery and vein blood gas were compared between two groups.Results Results of femoral artery gas analysis showed that the HCO3- concentration was lower in sepsis group than that of control group. Results of femoral vein blood gas showed that the partial pressure of carbon dioxide [p(CO2)] was higher in sepsis group than that of control group; the oxygen saturation (SvO2) and HCO3- concentration was lower in sepsis group than that of control group (P＜ 0.01). The differences between oxygen partial pressure p(O2), p(CO2), HCO3- concentration, oxygen satura⁃ tion of femoral artery and vein blood gas were significantly higher in sepsis group than those of control group (P＜ 0.01). Conclusion Results of femoral vein blood gas analysis change obviously in patients with burn sepsis . The detection of accompanying femoral artery and vein blood gas is beneficial to diagnosis of burn sepsis.

Key words: burns, infection, sepsis, blood gas analysis