颈内静脉球血氧饱和度监测的临床应用
| 作者: |
1刘羡,
1蔡宏伟
1 中南大学湘雅医院麻醉科，长沙 410008 |
| 通讯: |
蔡宏伟
Email: caihw2005@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.04.031 |
| 基金: | 湖南省科技计划项目(2017SK2034)。 |
摘要
颈内静脉球血氧饱和度(jugular venous bulb oxygen saturation，SjvO2)监测可及早发现脑氧供需的变化，尽早治疗以减轻脑组织的缺血缺氧性损伤。在神经外科手术、体外循环(cardiopulmonary bypass，CPB)和特殊体位手术中应用广泛，与脑组织氧分压(partial oxygen pressure of brain tissue，PbtO2)和近红外光谱对比有其优势，还可用于围手术期生理探索、指导过度通气、综合脑保护和多模式监测等诊治手段。
关键词：
颈内静脉球；颈内静脉球血氧饱和度；脑氧代谢；近红外光谱
Clinical application in monitoring the jugular venous bulb oxygen saturation
CorrespondingAuthor: CAI Hongwei Email: caihw2005@163.com
DOI: 10.3978/j.issn.2095-6959.2021.04.031
Foundation: This work was supported by the Science and Technology Plan of Hunan Province, China (2017SK2034).
Abstract
The monitoring of jugular vein bulb oxygen saturation (SjvO2) can detect the changes of cerebral oxygen supply and demand as early as possible, and reduce the ischemic and hypoxic injury of brain tissue by early treatment. SjvO2 is widely used in neurosurgery, cardiopulmonary bypass (CPB) and special postural surgery, and has its own advantages in comparison with partial oxygen pressure of brain tissue (PbtO2) and near-infrared spectroscopy. It can also be used in perioperative physiological exploration, guidance of hyperventilation, comprehensive brain protection, multi-mode monitoring, etc.
Keywords：
internal jugular vein bulb; jugular venous bulb oxygen saturation; cerebral oxygen metabolism; near-infrared spectroscopy