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目的探讨脉搏饱和度(Sp O2)监测在急诊及外科临床中的指导意义。方法选择2013年5月-2015年5月在该院急诊及创伤外科就诊的门诊患者100例,皆因呼吸损害罹患呼吸窘迫综合征,对患者临床治疗资料进行分析。结果经比较,轻度低氧血症存活率为100.0%(30/30),中度低氧血症患者的存活率为75.0%(30/40),重度低氧血症患者存活率为66.7%(20/30),中轻度患者的存活率较高,重度低氧血症患者的存活率较低,即脉搏血氧饱和度的监测与患者的临床治疗密切相关,不同程度的血氧症患者治疗难度不同。转移至重症监护的患者有中度和重度低氧血症患者,以临床治疗中产生的不良反应休克、肺水肿、心脏骤停为例,重度低血氧患者患者的不良反应发生率更高(P<0.05)。结论 SPO2的监测直接反映了患者氧分压的情况,及时监测可以有效提高抢救的存活率,降低不良反应发生率,对急诊及创伤外科具有重要的指导意义。
Objective To investigate the significance of Sp O2 monitoring in emergency and surgical clinical practice. Methods From May 2013 to May 2015, 100 outpatients in our emergency and traumatic surgery hospital were all treated with respiratory distress syndrome due to respiratory damage. The clinical data of the patients were analyzed. Results The survival rate of mild hypoxemia was 100.0% (30/30), that of moderate hypoxemia was 75.0% (30/40), and that of severe hypoxemia was 66.7 % (20/30), mild survival in patients with high, severe hypoxemia patients with lower survival rate, that is, the monitoring of pulse oximetry is closely related to the clinical treatment of patients with varying degrees of blood oxygen Patients with different treatment difficulty. Patients transferred to intensive care with moderate and severe hypoxemia, adverse reactions in clinical treatment of shock, pulmonary edema, cardiac arrest, for example, severe hypoxemia patients with a higher incidence of adverse reactions ( P <0.05). Conclusion The monitoring of SPO2 directly reflects the partial pressure of oxygen in patients. Timely monitoring can effectively improve the survival rate of rescue and reduce the incidence of adverse reactions, which has important guiding significance for emergency and traumatic surgery.