CAJ | 학술논문

通过中心静脉导管监测中心静脉氧饱和度(ScVO2)是一个方便、可靠的方法,它能快速反映危重患者全身氧的供需平衡的瞬时变化,能早期发现组织缺氧,且优于其它传统的血流动力学参数,是评估组织氧合充分与否的有用的间接指标,也是评估危重患者院内病死率及预后的重要指标;用ScVO2、平均动脉压和中心静脉压来指导早期目标指导性治疗,可提高严重脓毒血症或感染性休克患者的存活率.因此,ScVO2的监测对危重患者的评估和管理是非常重要和有用的.
통과중심정맥도관감측중심정맥양포화도(ScVO2)시일개방편、가고적방법,타능쾌속반영위중환자전신양적공수평형적순시변화,능조기발현조직결양,차우우기타전통적혈류동역학삼수,시평고조직양합충분여부적유용적간접지표,야시평고위중환자원내병사솔급예후적중요지표;용ScVO2、평균동맥압화중심정맥압래지도조기목표지도성치료,가제고엄중농독혈증혹감염성휴극환자적존활솔.인차,ScVO2적감측대위중환자적평고화관리시비상중요화유용적.
Measurement of central venous oxygen saturation(ScVO2)from central venous catheters is a reliable and convenient method which could rapidly warn of acute change in the global oxygen supply/demand ratio of critically ill patients and which is superior to conventional hemodynamic parameters,and itcan detect tissue hypoxia early.ScVO2,as a useful indirect index of adequate tissue oxygenation,is animportant indicator of in-hospital mortality rate and prognoses for critically ill patients.The early-goal directed therapy guided by ScVO2,mean arterial pressure and central venous pressure is able to increase survival in the patients with severe sepsis or septic shock.Therefore,measurement of ScVO2 is very important and useful for evaluation and management of critically ill patients.