摘要
观察颈动脉体瘤切除术中同时监测颈内静脉血氧饱和度(SjvO2)及颈内动脉回流压能否准确反应大脑血液灌注和氧合情况。方法:本组5例,术中阻断或切除颈动脉后取血样,测定SjvO2及显露颈内动脉后的颈内动脉回流压。结果:SjvO2在阻断或切除颈动脉时为57%～65%,阻断后为60%～72%,切除颈动脉后为58%。术中测量颈内动脉回流压分别为8.27～8.40kPa,阻断或切除颈动脉时分别为7.47～7.86kPa不等。结论:在颈动脉体瘤切除术中,SjvO2及颈内动脉回流压同时监测,既能准确的反映大脑的血液灌注情况,又能准确反映大脑的氧合情况。
Objective:To observe the effect of monitoring Sj vO 2 and reflu pressure of in-ternal carotid artery together for blood supply and oxygenation of brain in resection of carotid body tumor.Methods:5patients,get blood samples for SjvO 2 after blocking or resecting jugular artery,and reflu pressure of internal carotid artery when it is exposed.Results:SjvO 2 is57-65%when jugular artery is blocked or resected.It is60～72%after blocking and58%after resecting.Reflu pressure of internal carotid artery is8.27-8.40kPa in op eration.It is7.47～7.86kPa when jugular artery is blocked or resected.Conclusions:It can re flect the status of blood supply and oxygenation of brain exactly to monitoring SjvO 2 and reflu pressure of internal carotid artery to-gether.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2003年第8期580-581,584,共3页
Chinese Journal of Clinical Oncology
关键词
颈动脉体瘤切除术麻醉
SjvO2监测
颈内动脉回流压监测
Anesthesia in resection of carotid body tumor Monitoring SjvO 2 Monitoring reflu pressure of internal carotid artery
