CAJ | 학술논문

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。
목적：탐토소상농독증환자반행고동맥、고정맥혈기지표검측적의의。방법총결22례특중도소상농독증환자（농독증조）화43례특중도소상미출현농독증환자（대조조）적자료，비교2조환자고동맥급고정맥혈기지표적변화。결과동맥혈기분석：농독증조탄산경근리자（HCO3-）치저우대조조。정맥혈기분석：농독증조중고정맥혈이양화탄분압[p（CO2）]고우대조조，고정맥혈양포화도（SvO2）、HCO3-저우대조조（균P＜0.01）。농독증조동、정맥양분압[p（O2）]차치[Δp（O2）]，동、정맥p（CO2）차치[Δp（CO2）]，동、정맥HCO3-차치（ΔHCO3-），동、정맥혈양포화도차치（ΔSO2）균고우대조조（균P＜0.01）。결론소상농독증환자고정맥혈기지표개변명현，검측고동맥화고정맥혈기리우소상농독증적조기판단。
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.