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重型颅脑损伤患者颈静脉氧饱和度及动静脉乳酸差值与预后的关系 被引量：3

Relationship Between Saturation of Jugular Vein Oxygen,Arteriovenous Difference of Lactate Content and Prognosis of Severe Head Injury
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摘要 【目的】评估颈静脉氧饱和度(SjvO2)与动静脉乳酸差值(AVDL)作为重型颅脑损伤的预后指标。【方法】回顾性分析32例重型颅脑损伤病人,每6 h测定颈静脉搏氧饱和度与动静脉乳酸。【结果】结果Sj-vO2、AVDL与预后显著相关,或发作2次以上预后不良,AVDL增加预后差。【结论】SjvO2、AVDL监测相结合,能较可靠反映脑供血及脑代谢状况,对重型颅脑损伤的治疗有指导意义。 [Objective] To assess the prognosis value of the levels of jugular blood oxygen saturation （SjvO2 ） and arteriovenous difference of lactate content （AVDL）. [Methods] A total of 32 cases with severe head injury were retrospectively analyzed. SjvO2 and AVDL were determined each for 6 hours. [Results] Both SjvO2 and VADL were significantly correlated with prognosis. Two or more times of SjvO2≤75% or ≥50% episodes and increasing of AVDL were associated with a poor neurological outcome. [Conclusion] Monitoring of SjvO2 and AVDL is reliable to predict prognosis of severe head injury, which is helpful for treatment.
作者 徐福林 王建清 徐征 马捷 全勇 贾丕丰 盖延廷 茅宇航 沈刚
机构地区 上海市闵行区中心医院神经外科
出处 《医学临床研究》 CAS 2007年第12期2082-2083,2086,共3页 Journal of Clinical Research
关键词 脑损伤 血气分析 颈静脉 乳酸/血液 brain injuries blood gas analysis jugular veins lactic acid/BL
分类号 R651.15 [医药卫生—外科学]
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参考文献11

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同被引文献40

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医学临床研究
2007年 第12期

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