{"id":19142,"date":"2020-09-07T05:09:59","date_gmt":"2020-09-06T21:09:59","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=19142"},"modified":"2020-09-08T06:43:11","modified_gmt":"2020-09-07T22:43:11","slug":"life-in-the-fast-lane-%e6%b0%a7%e9%a5%b1%e5%92%8c%e5%ba%a6%e5%88%86%e7%a6%bb1-6","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=19142","title":{"rendered":"[Life in the Fast Lane]: \u6c27\u9971\u548c\u5ea6\u5206\u79bb(1\/4)"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">Dissociated Oxygen Saturations<\/h1>\n\n\n\n<p>by&nbsp;<a href=\"https:\/\/litfl.com\/author\/paul-young\/\">Dr Paul Young<\/a>, last update&nbsp;March 16, 2019<\/p>\n\n\n\n<p>aka&nbsp;<a href=\"https:\/\/litfl.com\/clinical-cases\/hematology-hoodwinker\/\">Hematology Hoodwinker<\/a>&nbsp;004<\/p>\n\n\n\n<p>One of the emergency residents has just taken an ABG on the 44 year-old woman in cubicle 3. Prior to her current presentation she had no known medical problems. The patient\u2019s pulse oximetry reading is SpO2 98% on air.<\/p>\n\n\n\n<p>\u6025\u8bca\u79d1\u7684\u4e00\u540d\u4f4f\u9662\u533b\u5e08\u521a\u521a\u4e3a\u4e00\u540d44\u5c81\u7684\u5973\u6027\u60a3\u8005\u505a\u4e86\u52a8\u8109\u8840\u6c14\u68c0\u67e5\u3002\u6b64\u6b21\u53d1\u75c5\u524d\uff0c\u60a3\u8005\u6ca1\u6709\u65e2\u5f80\u75c5\u53f2\u3002\u60a3\u8005\u5438\u7a7a\u6c14\u65f6\u8109\u640f\u6c27\u9971\u548c\u5ea6(SpO2)\u4e3a98%\u3002<\/p>\n\n\n\n<p>This is the arterial blood gas:<\/p>\n\n\n\n<p>\u60a3\u8005\u52a8\u8109\u8840\u6c14\u7ed3\u679c\u5982\u4e0b\uff1a<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/litfl.com\/wp-content\/uploads\/2019\/01\/PY-blood-gas-1.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Questions \u95ee\u9898<\/h4>\n\n\n\n<p>Q1. What are the possible explanations for the discrepancy between the pulse oximetry reading and the oxygen saturation on the arterial blood gas?<\/p>\n\n\n\n<p>Q1. \u8109\u640f\u6c27\u9971\u548c\u5ea6\u4e0e\u52a8\u8109\u8840\u6c14\u6c27\u9971\u548c\u5ea6\u7ed3\u679c\u4e0d\u4e00\u81f4\u7684\u53ef\u80fd\u539f\u56e0\u6709\u54ea\u4e9b\uff1f<\/p>\n\n\n\n<p>Q2. What other blood test would be particularly helpful?<\/p>\n\n\n\n<p>Q2. \u5176\u4ed6\u54ea\u4e9b\u8840\u6db2\u68c0\u67e5\u7ed3\u679c\u4f1a\u6709\u5e2e\u52a9\uff1f<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dissociated Oxygen Saturations by&nbsp;Dr Paul Young, l [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,18],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/19142"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=19142"}],"version-history":[{"count":3,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/19142\/revisions"}],"predecessor-version":[{"id":19150,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/19142\/revisions\/19150"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=19142"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=19142"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=19142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}