「Q&Aパルスオキシメータハンドブック」一般医療者向け
Contents
1.2. CO Hb Met Hb CGC
3. SpO 90 13 1 87 30 1 59
4. SpOs 3 SpO gt P28 Q3 A B 1 140 Oo C 30 D 08
5. SpQs SpO 20 30 1 10 20 SpO SpO
6. 2 SpO 2 006 Q amp A
7. LED A
8. 5 2 2007 77 52 9 2005 75 863 7
9. 1 Dumas C et al Clinical evaluation of a prototype mo tion artifact resistant pulse oximeter in the recovery room Anesth Analg 1990 83 269 72 2 Barker JS et al The effect of motion on the perfor mance of pulse oximeters in Volunteers revised publica tion Anesthesiology 1997 86 101 8 Q amp A 0 1 5 Fi wde lt Qt A
10. SpOz
11. Q D Sp0 AHI Respiratory disturbance index RDI AHI RDI A SpOs
12. Q Sp0s 3 A SpOs 9596 9596 SpO SpOz SpO 96 99
13. The International Organization for Standardization Standards catalogue ISO TC 121 Anaesthetic and respiratory equlpment ISO 80601 2 61 2011 http WwWwwW 1SOo Oorg 1so catalogue_detail htm csnumb er 51847 SpO0 PULSOX 1 Q amp A 0 1 3 Fi wde lt G9 3 J4 A
14. 1 ISO 80601 2 61 First edition 2011 04 01 Medical electrical edulpment Part 2 61 Particular requirements for basic safety and essential performance of pulse oximeter equipment Qs5 A
15. 2 3C SpOs SpO gt
16. 2 QOL OFF Q amp A 0 TO ME A ISO 80
17. 90 180 SpO P6 Q4
18. 1 SpO02 SpO SpO2 COPD
19. ISO 80601 2 61 P12 Q1 P12 Q1
20. Q 3 A 3 6
21. Ee Si Dk H httD WWW jrS Or jD 113 0033 3 28 8 7F TEL 03 5805 35598 FAX 03 5805 3554 H264 OH264 15 000 15 000 SpO2 Q amp A Q amp A
22. 2001 2014 3 Q amp A 03 ee
23. LED LED 2 3C LED
24. 0 4 Q amp A SpO
25. A SpOs P12 Q1 SpO 90 1 2
26. Qe A 1990
27. 20 30 SpO gt SpO gt 4 C SpO2 4 B 4 A 4
28. 2 6 18mm 10mm 10mm
29. SpOz QQ A SpO gt
30. American Association for Respiratory Care Clinical Practice Guideline Pulse oximetry Respir Care 1991 36 1406 9 I II 2006 SpO SpO Q amp A 00 2 J2 A
31. SpO2 SpO2 SpO2 SpO2 SpO gt
32. SpO 90 HOT SpO SpO SpO A
33. P14 Q5 2 30 1 2
34. SpO gt 2 P28 Q3 P26 Q2 Q amp A 029 0 a FRC ERV
35. SpOs P8 9 022 Q amp A SpOs Q SpO 3 SpOs 80
36. Q amp A 0 Q A SpO SpO 96 COPD 6
37. 1958 1971 Wood SaOs 1974 ME 1975 1 1976
38. Pa0 60mmHg 2 1 I PaCO 45mmHeg II PaCO2 gt 45mmHeg Q amp A 023 el Q 4 A SpO
39. Body mass index BMI 25kg m ODI3 ODI2 2009 63 291 7 2013 Q amp A
40. Met Hb 660nm 940nm Os Hb Sa0s 85 SpOs 859 SpOa ee
41. SpO 2 3 2 SpO SpO2z SpO gt 2 6 SpO2 SpO 6 100 024 Q amp A SDO gt 90 SpO i Sp0z
42. Q amp A 009 SS gt TO 3 A SpOa SpOs
43. SpOs SpO2 SpO2
44. 006 Q amp A CO Hb Met Hb ICG Os Hb Hb SpOs CO Hb Met Hb CO HD Met HD SpOa
45. PaO gt PaOz SpOz 1 PaO A PaO SpO A SpOz 1 A SpO2 2 SpO SpO ODI SpOs SpOz 030 Q amp A
46. 75 100 SpO SpO 7 47 68 97 19 22 0 SpO
47. 1 SpOz 0 1 8 Q amp A 2
48. 0 8 30 8 8 2 3C 35C 37 38C 0 1 6 Q amp A
49. 7 2008 2006 72 SpOa J2 A SDOs oxygen delivery DO2 arterial oxygen content CaOz 1
50. Q amp A 0 1 9 W Sq S Q HOT 4 SpOa A SpOs HOT HOT Pa02 55mmHg SpOs 8896 HOT PaO0z 55mmHg PaO 60mmHg HOT PaOz SpO HOT 1 PaO2
51. 6 SpOz LC 2014 3 QT SpOz SaO2 5 reeeeeeeeeeeeeeeeeeeeee 004 Q2 SpO2
52. SpOz SpO gt Q amp A 025 W _ 6 BMWT Qt Sp0s A SpOz tC OO 1 dail vy Co sg A A Ss PE 5 Yo a 4 lt or
53. Sa0z SpO2 percutaneous oxygen saturation SpO2 2 SpO SpOs SpO SaO2
54. SpO SpO SpO 2 8 SpO 2 Q 2 Spo A SDOs
55. 1 90 SpO 1 2 SpO SpO SpOz lt 96 A DROP R Respiration SpOs 90 1
56. 1 A SpOs SpOsa SpO2 1 Sp0z ISO 80601 2 61
57. LED SpOs SpOa ee ICG 660nm 940nm Hb SpOs gt 20mg dl Sp0s Met HD
58. 1 SpO gt 5 2006 I II 2006 A
59. A SpOs PaO gt 60mmHg SpO 90 SpOz 95 SpO PaCO pH TL PaO COz SpO Sp0O2 100
60. SpO gt SpOs 1 8 lz X A 7 2008 Q amp A 005 Q 4 A
61. Q amp A 1 Cottrell JJ Altitude exposures during aircraft flight Flying higher Chest 1988 93 81 4 2 2005 64 285 92 Q amp A 02 8 8 _ Gal Q1 gt Sp0 A A SpO0a 3 49 SpO Sp0 96 99 90 SpOz SpO SpO2 SpO
62. JIS TIS JIS ISO 80601 2 61 CO CO 70 100 4 2 3
63. SpO2 90 3 4 95 1 SpOs 1 SpO
64. 2012 2012 2 2007 9 Ss PEF jel F PaO gt PaCO gt ER Co 45mmHg 2 80 96 3 se 60 80 91 95 60mmHg 45mmHg 6 Se ay 0 A EO NO Ne 90 Ds 1 2 3
65. ODI AHI To 030 Q2 SpO gt oo 030 Q3 ODI tt 031 COI COI COI COI COI Q amp A COI 1 2
66. CC FRC Q ODI AHI A ODI AHI 9 Q ODD AHI
67. 50mmHg 60mmHg 4 30 40 60mmHg 70mmHg Je 6 A 9000 12000m 08 09 0 37C 47mmHg AaDO 10mmHge PaCO 40mmHg PaO gt 760 x 08 47 x 0 21 40 0 8 10 58mmHg sea level 1 16
68. B C A B C SpO gt Barthelemy C et sl Accuracy of pulse oximetry during moderate exerclse a Comparative study Scand J of Clin amp Labor Invest 1990 50 533 9 ATS statement Guidelhnes for the six minute walk test Am J Respir Crit Care Med 2002 166 111 7 Q amp A 02 0 a et 3 PE spo EF A 1 SpOs 1 SpOs SD0s SpOs
69. SpO PaOz 02 0 Q amp A SpDOy 3 2 3 1 20 50mmHg 3 20 30
70. MSD 3 Q amp A 003 Q 1 WOR sp0e Sa0 Sa0s CO 4 SpOa arterial oxygen saturation SaOz Pa0z SaOz CO
71. MRSA 41C 42C 8 43C 4
72. 70 PaO gt 60mmHeg 10m SpOz SpO Desaturation 1 SpO SpO SpO Q 2 1 HOT 3 SpO
73. 004 Q amp A CO Hb Met Hb SpO SpOs 1 DO2 CO x Ca0 7
74. 90 CO P12 Q2 3 3 pO UN 100 ERP EE PE A A ee 0
75. 2 1 SpO 1 SpO SpO P26 Q2 SpO gt SpO SpO SpOs 5
76. 2008 Ca02 1 34 x Hb x SaO2 100 PaO x 0 003 CO 2 min Hb g d6 SaO2 PaO2 mmHsg Q3 Sp0Oe A SpOs SpO gt
77. A 1 1 Te 4 SpOs SpOz P15 Q6 020 Q amp A 1 2 SpO gt
78. 2C SpO gt SpO 3 1
79. 7 eeweeenntn 014 Q6 ee 015 002 Q amp A QT lt lt lt oo 016 Q2 lt 22 016 Q3 7 oo 017 B22 RE NRE RN RR 017 Q1 Pr oo 018 Q2 7 eee 018 Q3 SpOz 7 moeeeeeetrtnr 019 Q4 HOT SpOz 7 eure 020 Q5 SpOz
80. SpOs _ SpOa SpOz 10 30 2 3 10 SpO SpO
81. dr 1 SpO 3 4 lt SpO 90 SpO P8 9 SpO gt pH PaO SaOs SpO FT PaO
82. 1 dicrotic notch 2 PD SpOs LED PD Photodiode SpOz
83. oo 004 Q3 SpOz 7 mereeeeeeeeeeeeeeeeeeee 005 Q4 7 eeeeeeeeeeeeeeeeeeen 006 Q1 lt 007 Q2 0 lt 008 Q3 9 eeeessesssesseseeseeseaseeseeseeseeseeses 010 Q1 7 lt 012 Q2 iu lt 012 Q3 2 eeeeeeeeeeeeeeeeeee 013 Gd OO 014 Q5
84. 0 2 Q amp A 3 2 2 EL SpOz 100 SpO 95 90 85 80 8 75 70 ex 65 60 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 Q 3 ISO 80601 2 61
85. a DE OE 1 48 0 1 2 3 4 5 6 7 8 9 min J D Sp0 A SpO 1 2 SpOa 3 SpOz SpOz 3 3
86. SpO gt 01 0 Q amp A
87. SpOs SpO SpO SpO PD SpOa SpO2
88. SpO2 3 SpO2 SpOs
89. 30 O 3 68 6 SpO2z CC C 66 D 130 D SpOs 98 136 SpO2 3 SpO2 8 8
90. 20 COPD PULSOX gt EMC IEC60601 1 2 PULSOX 2
91. 1 mmHg 96 ODI2 P30 Q2 2 ODI2 OSAS OSAS OSAS SpO0 4 3 A ODI
92. 7 oooerereeeeeeneeeeeeeeeet 020 Q6 7 ooo 021 Q1 SpO ooo 022 Q2 8 022 Q3 SpOz 7 ooo 023 Q4 oo 024 Q5 SpOz 7 ee 025 6 GMWT Q1 SpOz a 026 Q2 Sp02 7 oo 026 Q3 SpOz ee 028 Q4 SpO 7 emem 029 Q5 SpO2 029 Q1
93. A SpOs SpOs SpO 20 SpO A SpOa SpOs SpO gt
94. 1 100 90 i 80 60 2 3 diphosphoglycerate 1 pH J Pco 1 20 0 SpOs COz SpO PaCOs pH SpOz 1
95. HOT PaO 55mmHg SpOs 88 I 1 60 mmHg 90 80 97 mmHg 98 gt 55 mmHo 88 80 mmHg 95 60 40 mmHg 75 50 27 mmHg 50 20 mmHg 35 0 20 40 60 80 100 Q D Sp0 A SpOs PaC Sp0s SpOs 1 PaOs 2 3
96. SpO gt SpOaz SpO 100 60 SpO0 bpm SpO 1 6 SpO2 SpO2 SpO2 69 SpO2 bpm SpO SpC 02 9 Q amp A Yak
97. SpO 6 SpO 2 6 SpO 6 SpO gt 30
98. 601 2 61 2011 JIS ISO 80601 2 61 2011 1 SpCO gt Ams 143 a A y 0995x 0314 CO oo0 9 yA 6 3 A p02 70 Bs 80 90 100 SaO gt J2 TISO 80601 2 61 2014
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