心绞痛心肌梗塞病人的经皮氧分压和二氧化碳分压监测  

THE MONITORING OF P TC O_2 AND P TC CO_2 IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION OR ANGINA

作　　者：赵爱婷[1] 龙建军[1] 郭秀玲 杨瑞华[1] 骆秉铨[1] 

机构地区：[1]江苏省徐州市第四人民医院,221000

出　　处：《河北医学》1999年第12期38-39,共2页Hebei Medicine

摘　　要：目的：本文旨在研究冠心病心绞痛、心肌梗塞病人的经皮氧分压（ＰｔｃＯ２ ）和二氧化碳分压（ＰｔｃＣＯ２）的改变。方法：采用经皮组织氧分压监测仪对５１ 例临床上确诊为心绞痛、心肌梗塞病人及６０ 例健康人分别测定前臂内侧的ＰｔｃＯ２ 、ＰｔｃＣＯ２ 值。结果：测得心绞痛、心肌梗塞组ＰｔｃＯ２、ＰｔｃＣＯ２ 值分别为５９．８５±１０．４０ｍ ｍ Ｈｇ、５７．２０±６．０９ｍ ｍ Ｈｇ，健康组为７６．８０±７．５８５３．３２±１０．８１ｍ ｍ Ｈｇ。结论：冠心病心绞痛心肌梗塞病人的ＰｔｃＯ２ 值明显低于正常人（Ｐ＜ ０．００１）而ＰｔｃＣＯ２ 虽较健康组高，但无显著性差性。ＰｔｃＯ２、ＰｔｃＣＯ２ 可作为冠心病、心绞痛。Objective:To investigate the changes of PtcCO 2 and PtcO 2 in patients with acute myocardial infarction or angina.Methods:51 cases of patients with acute myocardial infarction or angina and 60 cases of normal persons were measured PtcO 2 and PtcCO 2 located on interior hand of forearm,by using Transcutaneous Oxygen Tension Apparatus.Result:The values of PtcO 2 and PtcCO 2 were 59.85±10.40mmHg,57.20±6.09mmHg and 53.32±10.81mmHg in patients with acute myocardial infarction,angina and normal group,respectively (P〈0.001) .Conclusion:In acute myocardial infarction and angina group the value of PtcO 2 was significantly lower than that of normal group.PtcO 2 and PtcCO 2 may be indexes for extra microcirculation in acute myocardial infarction and angina.

关 键 词：氧分压 二氧化碳分压 冠心病 心绞痛 心肌梗塞 

分 类 号：R542.22[医药卫生—心血管疾病] R541.406[医药卫生—内科学]