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血中碳氧血红蛋白饱和度测定影响因素的研究

Factors affecting the determination of the percent carboxyhemoglobin saturation of blood

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【作者】 姜宴叶永红张宜凡吴文庆

【Author】 JIANG Yan,YE Yang-hong,ZHANG Yi-fan,et al. (Department of Forensic Medicine,Medical Center of Fudan University,Shanghai 200032,China; Shanghai Pharmaceutical School,Shanghai 200135,China)

【机构】 复旦大学上海医学院法医学系上海市医药学校复旦大学上海医学院法医学系 上海 200032上海 200032上海 200135上海 200032

【摘要】 目的 考察血中碳氧血红蛋白饱和度(HbCO%)测定的影响因素,为其结果评定和所需样品保存条件提供实验依据。方法 利用三种分光光度法,测定30d内不同条件下保存的CO阳性血的HbCO%的变化。结果 还原双波长法、双波长法测定结果比较稳定,单波长法抗干扰能力较差;尸检所取血样的保存条件包括温度、保存时间及与空气接触程度对HbCO%的测定均有影响,其中温度影响较为显著。结论 利用还原双波长法与双波长法,并结合光谱扫描观察峰形变化可得到比较可靠的结果。30d内4℃条件下,密闭容器中血样接触少量空气不影响其HbCO%的测定。

【Abstract】 Objective To investigate factors affecting the determination of the percent carboxyhemoglobin saturation (HbCO%) of blood in an attempt to offer further data for results interpretation and sample storage requirement. Methods The HbCO% of blood samples stored in various conditions were detected by three spec-trophotometries during the succeeding 30 days. Results The data detected by reductive double-wavelength spectrophotometry and double-wavelength spectrophotometry were more stable than mono-wavelength spec-trophotometry. The HbCO% of blood was significantly related with the storage conditions which include temperature,time and the degree of exposure to air. Conclusion Determinations of HbCO% are reliable which performed by reductive double-wavelength spectrophotometry and double-wavelength spectrophotometry,combine with spectral scans. During 30 days,blood stored at 4℃ exposed to a limited volume of air does not influence the determination of HbCO%.

  • 【文献出处】 法医学杂志 ,Journal of Forensic Medicine , 编辑部邮箱 ,2003年02期
  • 【分类号】D919
  • 【被引频次】7
  • 【下载频次】314
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