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近十余年来,基于技术进步和对呼吸衰竭病生特点较好了解,使对呼吸监测发生了显著改进。监测最主要目的在于提供警报,提醒看护人员注意病人情况明显变化,及时提供救治机会,以达到诊断和治疗目的,并有助于估计治疗反应和预示预后的趋势。应着重指出,监测只能作为辅助手段,不能取代精心的体检。动脉血气测定动脉血气测定仍是呼吸监测主要的依据;问题是此法是侵入性,间断性采标本有可能遗漏突然性变化,安排试验与获得结果间
In the past decade or so, based on technological progress and better understanding of the characteristics of respiratory failure patients, respiratory monitoring has been significantly improved. The primary purpose of surveillance is to provide alerts that alert care providers to significant changes in the patient’s condition and provide timely treatment opportunities for diagnostic and therapeutic purposes and to help estimate the response to treatment and predict the prognosis. It should be emphasized that monitoring can only serve as an aid and can not replace the elaborate physical examination. Arterial blood gas determination Arterial blood gas measurement is still the main basis for respiratory monitoring; the problem is that this method is invasive, intermittent mining of the sample may miss sudden changes in the arrangement between the test and the results