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Opti Medical OPTI CCA


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pH..............................................................................................................................10
PCO2...........................................................................................................................11
PO2.............................................................................................................................11
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(ctHb)..............................................................14
(SO2%).......................................................15
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PO2................................................................................................................................34
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c ..............................................................................47
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Opti Medical OPTI CCA..............................................................51
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Opti Medical OPTI ............59
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(SRC).............................................95
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SRC................................................................................100

SRC.................................................................................103
.........................................104
(OPTI CHECK, OPTI CHECK PLUS)..........105
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( , ).................115
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tHb............................126
HbCal tHb-.................................................................126
HbCal ...............................................................128
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/ ...........................................................................131
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SRC.......................................................................................................153
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-....................................................................154
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RS232................................................................................156
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Opti Medical OPTI CCA pH, PCO2, PO2,
Na+, K+, Ca++, Cl-, Glu, tHb SO2 pH, Na+, K+, Ca++, Cl-
Glu , . Opti Medical

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pH
pH ,
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Tietz, Norbert W., Ed., Clinical Guide to Laboratory Tests, 2nd Ed., (Philadelphia: W.B.Saunders, Co., 1990)

11

PCO

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Burritt MF, Pierides AM, Offord KP: Comparative studies of total and ionized serum calcium values in normal
subkects and in patients with renal disorders. Mayo Clinic proc. 55:606, 1980.

14

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Siggaard-Andersen O, Durst RA, Maas AHJ. IFCC/IUPAC approved recommendation(1984) on physicochemical


quantities and units in clinical chemistry. J Clin Chem Clin Biachem. 25:369-391,1987.
4
Burtis C, Ashwood E(Eds.), Tietz Textbook of Clinical Chemistry, 2nd Ed., (Philadelphia: W.B. Saunders, Co., 1994)
pp.1354-1360, 2180-2206.

16

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I / I = 1 + 10 pKa-pH

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Guilbault GG, Ed., Practical Fluarescence, 2nd Ed., Marcel Dekker, 1990.
Kautsky H, Quenching of Luminescence by Oxygen, Trnsactions Faraday Society 35, p. 216, 1939.
7
CDI, 3M Healthcare System 200 Extracorporeal Blood Gas Monitor. See, for example, Lubbers DW, Gehrich J, Opitz
N, Fiber Optics Coupled Fluorescence Sensors for Continuous Monitoring of Blood Gases in the Extracorporeal
Circuit, Life Supports Systems 4, p. 94, 1986.
8
Peterson JI, et.al., A Fiber Optic pH Probe for Physiological Use, Anal. Chem. 53, p. 864, 1980.
6

pH , pH.
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PCO2 pH
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CO2 . , PCO2

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Na+, K+, Ca++ Cl-
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Wolfbeis OS, Offenbacher H, Fluorescence Sensor for Monitoring Ionic Strenght and Physiological pH Values,
Sensors and Actuators 9, p.85, 1986.
10
Vurek GG, Feustel PJ, Severinghaus JW, A Fiber Optic PCO2 Sensor, Ann.Biomed.Eng. 11, p. 499, 1983.
11
Tsien R, New Calcium Indicators and Buffers with High Selectivity Against Magnesium and Protons, Biochemistry
19, p. 2396-2404, 1980.

(tHb) (SO2)
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: pH, PCO2, PO2, tHb SO2
Opti Medical OPTI CCA.
: 25
.
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20

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Opti Medical OPTI CCA, , BP7587
: pH, PCO2, PO2, Na+, K+, tHb SO2
Opti Medical OPTI CCA.
:
25
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0.2 HEPES .
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Opti Medical Opti Medical OPTI CCA, -Ca, BP7560
: pH, PCO2, PO2, Na+, K+, Ca++,tHb SO2
Opti Medical OPTI CCA.
:
25
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Opti Medical OPTI CCA, -Cl, BP7559


: pH, PCO2, PO2, Na+, K+, Cl-, tHb SO2
Opti Medical OPTI CCA.
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25
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0.2 HEPES .
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Opti Medical OPTI CCA, -Glu, BP7564
: pH, PCO2, PO2, Na+, K+, Glucose, tHb
21

SO2 Opti Medical OPTI CCA.


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25
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SRC
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pH
7.080 7.120 pH
PCO2
68.0 72.0
. .
PO2
57.0 63.0
. .
+
Na
123.0 127.0 /
K+
2.2 2.8
/
++
Ca
1.7 1.9
/
Cl78.0 82.0
/
Glu
36.0 44.0
/
Glu
2.00 2.44
/
tHb
18.5 21.5
/
SO2
68.0 72.0
%
:
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(SRC) 2(), BP7554
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Opti Medical OPTI CCA.
:
SRC
.
:


pH
7.380 7.420 pH
PCO2
38.0 42.0
. .
PO2
97.0 103.0 . .
Na+
143.0 147.0 /
+
K
4.2 4.8
/
Ca++
1.0 1.2
/
Cl
103.0 107.0 /
Glu
106.0 114.0 /
Glu
5.88 6.33
/
22

tHb
12.5 15.5
/
SO2
88.0 92.0
%
:
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(SRC) 3, BP7543
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Opti Medical OPTI CCA.
:
SRC
.
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pH
7.580 7.620 pH
PCO2
18.0 22.0
. .
PO2
167.0 173.0 . .
Na+
163.0 167.0 /
K+
6.7 7.3
/
Ca++
0.6 0.8
/
Cl
128.0 132.0 /
Glu
296.0 304.0 /
Glu
16.43 16.87 /
tHb
6.5 9.5
/
SO2
96.0 100.0 %
:
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, BP7001
: pH, PCO PO Opti Medical OPTI CCA.
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2 .
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14.0 0.02%

6.0 0.02%


:
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220 (), BP7025

23

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BP7587
BP7560
BP7559
BP7564
BP7536
BP7543
BP7001
HP0070

27

Opti Medical OPTI CCA


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:
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125

,
10 32 (50 90 F)
5% 95%
(pH, PO2,
PCO2, Na+, K+, Ca++, Cl-, Glu)
(tHb. SO2)

pH
PCO2
PO2
Na+
K+
Ca++
ClGlu
Glu
tHb
SO2

(/)
6.6 7.8
0.01/0.001
10 200
1/0.1
10 700
1/0.1
100 180
1/0.1
0.8 10
0.1/0.01
0.2 3.0
0.01
50 160
1/0.1
30 400
1/0.1
1.7 22
1/0.1
5 25
0.1
60 100
1/0.1

pH
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%

ID

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ID

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14 44

37.0

0.1

28

58 111

LR/RR/LB/RB/LF/RF/Cord/Scalp LR
:
LR=
RR=
LB=
RB=
LF=
RF=
Cord=
Scalp=

(Off Pump)

Art/Ven/MixVen/Cap/Cord/CPB
:
Art=
Ven=
MixVen=
Cap=
Cord=
CPB=-

Art

, tHb

0.1

(adult)

1 26
1 260
1 16

15.0

0.1
1
0.01

/
/
/

29.0 37.0
, MCHC%

33.3

0.1

O2

RmAir/Mask/T-P/NC/Vent/Bag/
Rm Air
Hood/Other
:
RmAir=
Mask=
T-P=
NC=
Vent=
Bag=
Hood=

29

Other=
FiO2

0.21 1.0

0.21

0.01

(RQ)

0.70 2.00

0.84

0.10

P50

15 40

26.7

0.1

No/SIMV/PSV/PCV/CMV-AC/ (No)
CPAP/PCIVR/BIPAP)
:
No=
SIMV=
PSV=
PCV=
CMV/AV=
CPAP=
PCIVR=
BIPAP=2

,
Tvol(VT)

0 4000

,
MVOL(VE)

0 120

,
PIP

0 140

, Pplat

0 100

0.1

, PS

0 99.9

0.1

0 50

0 50

, CPAP

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(f)

0 155

bmp

(FR)

0 300

LPM

/
, I/E Ratio

1:9.9

0.1

0 99.9/ 0 99.9

0/0

0.1

999999999

(Off)

30

999999999

(Off)

999999999

(Off)

1 200
(HCO3-)
(BE) -40 +40

-40 +40
(BEecf)
-40 +40
(BEact)
(BB)
0 100
CO2 (tCO2)
1 200
1 200
(st.HCO3)
6.5 8.0
pH(st.pH)
0 100
(SO2 sat)
0 56
(O2 t)
(Hct(c))
15 75

10 1000
(cH+)
-- 0 800

(AaDO2)
(AG) 3 30
P50
15 35
n Ca++
0.1 3.0

0.1

0.1
0.1

/
/

0.1

0.1
0.1
0.1

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/
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0.001

pH

0.1

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1
0.1

%
/

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0.1

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Opti Medical OPTI CCA


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pH . O2, CO2, tHb SO2

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SRC :
pH
PCO2
PO2
Na+

SRC
7.100 0.02
70.0 2
60.0 3
125.0 2

SRC
7.400 0.02
40.0 2
100.0 3
145.0 2

SRC
7.600 0.02 pH
20.0 2
. .
170.0 3
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165.0 2
/

32

K+
Ca++
ClGlu
Glu
tHb
SO2

2.5 0.3
1.8 0.1
80.0 2
40.0 4
2.2 0.22
20.0 1.5
70.0 2

4.5 0.3
1.1 0.1
105.0 2
110.0 4
6.1 0.22
14.0 1.5
90.0 2

7.0 0.3
0.7 0.1
130.0 2
300.0 4
16.65 0.22
8.0 1.5
98.0 2

/
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33

OPTI CHECK OPTI CHECK PLUS


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12

, PCO2 pH :

pH
7.40
7.35 7.45
PCO2
40
35 45
PO2 ,
. ,
PO2 , ,
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PO2.
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:

PO213

97
>80
<80

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40-70 . .


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70
80
90

>80
>70
>60
>50

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12

Shapiro BA, Harrison RA, Cane RD, Kozlovski-Templin R. Clinical Application of Blood Gases, 4 th ed., (Chicago:
Year Book Medical Publishers, Inc., 1991) p. 79-83
13
Kaplan LA, Peace AJ. Clinical Chemistry: Theory, analysis and correlation, 2 nd Ed. (St. Louis: C.V.Mosby Co. 1989)p
590-591.

14

,


, /

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128-148
133-146
139-146
138-145
136-145
136-150

14

3.7-5.9
4.1-5.3
3.4-4.7
3.5-5.1
0.70 ;
2.5-3.2,

35

14

Siggard-Andersen O, Durst RA, Maas AHJ. IFCC/IUPAC approved recommendation (1984) on physicochemical
quantities and units in clinical chemistry. J Clin Chem Clin Biochem. 25:369-391, 1982

14

>18
1 18

, /
1.12-1.32
1.03-1.23
1.16-1.32
1.20-1.38

14

,

, 0-30

, /
98-110
18-107
110-130
118-132

36

1, 14

>2

, /
65-95(3.3-5.6)
30-100(1.7-5.6)

12

, /
11.5-16.1
12.0-17.4
13.4-19.8

12

, /
,

40-90

95-100


Opti Medical OPTI
CCA SRC, .
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PO2 PCO2,
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pH . ,
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. PCO2 PO2, pH
20 2 Opti
37

Medical OPTI CCA


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, - PO2
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16.

15

Mahoney JJ, Wong RJ, Van Kessel AL, Reduced Bovine Hemoglobin Solution Evaluated for Use as a Blood Gas
Quality Control Material. Clin. Chem. 39/5, 874-79(1993)
16
J.B. Henry, Clinical Diagnosis and Management by Laboratory Methods, 19 th Ed., 1996, p.590, 777

. Opti Medical OPTI


CCA
,

tHb 3 /, 7 12 /
:
pH
6.6 7.8
pH
PCO2
10 200
. .
PO2
10 700
. .
Na+
100 180
/
+
K
0.8 10
/
Ca++
0.2 3.0
/
Cl 50 160
/
Glu
30 400
/
Glu
1.7 22
/
tHb
5 25
/
SO2
60 100
%
,
, LOW(); ,
, HIGH(). ,
,
. , PCO2 220 . .,

38

:
PCO2 > 200 mmHg

pH 17,
. Opti Medical OPTI
CCA Na+,
. pH -
Na+ -
100 190 /.
K+ Na+ 100 180
/. Na+ K+ 0.8
10 /.

17

Wolfbeis OS, Offenbacher H, Fluorescence Sensor for Monitoring Ionic Strtenght And Physiological pH Values,
Sensors and Actuators 9, p. 85, 1986.

Li+. Li+ 1.0, 2.5 6.4


/ Na+ 0.9, 1.2 1.3 /.
1-4 /
Na+ , 1%.
, ,
. ,
, .
.
, , ,
.
Na+ K+ Opti Medical OPTI CCA
pH pH.
.
Ca++ .
Cl- , .
, .
Glu , .
.
PO2, 400 . ..
, ,
NCCLS EP7-P18.

, , Opti Medical OPTI CC,
, .
,
( ) ,
( 90 ),

39

. tHb SO2,
,
.

18

NCCLS. Interference testing in clinical chemistry; Proposed Guideline. NCCLS Publication EP7-P. Villanova, PA;
NCCLS, 1986.

, , ,
NCCLS
- , , tHb/SO2:
(30 /)
(40 /)
- (3.0 /)
(10%)
K+,
, K+. ,
, ,
Ca++
.
, ,
- .
( 3000 / )
(30000 WBC/)
NCCLS

:
()(12/)
()(11 /)
()(13 /)
() (20 /)
, ,
tHb SO2

CO-:
ctHb

SO2

40

(/)

(%)

()

0.5/
5.0/
25/

+4.7
<1
+3.0

+4%
-17%
-37%

10%
20%

-2.0
-3.3
13%

<2%
<2%
+1.9

-7%


,
- , .
(:
PCO2 PO2):
pH
Na+
K+

(/) (/)
26/

-0.7

0.5/
()

-0.04

-18

-0.4

-0.16

-2

+2.4

25/


Opti Medical OPTI CCA,
, tHb.
, tHb ,
.
, ,
OPTI CHECK Opti Medical OPTI CCA.
, ,
pH , .
Opti Medical OPTI CCA
( ).
.

41


(Swr), (Sdd)
(ST) 1 2
20 2 Opti Medical Opti Medical OPTI CCA. pH
pH, PO2 PCO2 . ., ctHb /
/.

Swr (CV%)

Sdd (CV%)

ST (CV%)

: OPTI CHECK PLUS 1


pH
PCO2
PO2
Sodium
Potassium
Chloride
ionized Calcium
Glu mg/dL
Glu mmol/L
ctHb
SO2%

7.166

0.003

()

0.003

()

0.003

()

74.2
68.9
117.3
2.61
76.8
1.26
44.9
2.49
19.7

0.07
0.13
0.10
0.004
0.12
0.001
0.28
0.02
0.009

(0.1)
(0.2)
(0.1)
(0.2)
(0.2)
(0.1)
(0.6)
(0.6)
(0.1)

0.70
0.59
0.49
0.026
0.51
0.007
1.38
0.08
0.049

(1.0)
(0.9)
(0.4)
(1.0)
(0.7)
(0.6)
(3.1)
(3.1)
(0.3)

0.71
0.61
0.50
0.026
0.53
0.007
1.42
0.08
0.05

(1.0)
(0.9)
(0.4)
(1.0)
(0.7)
(0.6)
(3.2)
(3.2)
(0.3)

77.8

0.03

(0.03)

0.13

(0.2)

0.13

(0.2)

0.002
0.28
0.87

()
(0.6)
(0.9)

: OPTI CHECK PLUS 2


pH
PCO2
PO2

7.414
45.5
100.6

0.0003
0.05
0.09

()
(0.1)
(0.1)

0.002
0.27
0.87

()
(0.6)
(0.9)

42

Sodium
Potassium
Chloride
ionized Calcium
Glu mg/dL
Glu mmol/L
ctHb
SO2%

142.36
4.50
100.2
1.16
102.8
5.70
14.2
86.8

0.11
0.005
0.10
0.002
0.38
0.02
0.02
0.03

(0.1)
(0.1)
(0.1)
(0.2)
(0.4)
(0.4)
(0.1)
(0.1)

Swr (CV%)

0.50
0.030
0.74
0.010
2.87
0.16
0.07
0.11

(0.4)
(0.7)
(0.7)
(0.9)
(2.8)
(2.8)
(0.5)
(0.1)

Sdd (CV%)

0.51
0.030
0.75
0.011
2.90
0.16
0.08
0.11

(0.4)
(0.7)
(0.8)
(0.9
(2.8)
(2.8)
(0.5)
(0.1)

ST (CV%)

: OPTI CHECK PLUS 3


pH

7.620

0.0005

()

0.003

()

0.006

()

PCO2
PO2
Sodium
Potassium
Chloride
ionized Calcium
Glu mg/dL
Glu mmol/L
ctHb
SO2%

22.8
142.7
158.6
5.58
116.8
0.79
252.4
14.01
8.84

0.04
0.13
0.11
0.006
0.11
0.001
1.7
0.09
0.009

(0.2)
(0.1)
(0.1)
(0.1)
(0.1)
(0.1)
(0.7)
(0.7)
(0.1)

0.21
1.37
0.70
0.048
0.45
0.005
12.4
0.69
0.05

(0.9)
(1.0)
(0.4)
(0.9)
(0.4)
(0.7)
(4.9)
(4.9)
(0.5)

0.22
1.38
0.72
0.47
0.47
0.005
12.5
0.69
0.05

(1.0)
(1.0)
(0.5)
(0.4)
(0.4)
(0.7)
(5.0)
(5.0)
(0.6)

95.4

0.02

(0.1)

0.14

(0.1)

0.14

(0.2)

()
(1.2)
(0.8)
(0.6)
(1.1)
(1.1)
(1.8)
(2.4)
(2.4)

0.003
0.48
0.73
0.92
0.08
1.03
0.01
1.8
0.10

()
(1.2)
(0.8)
(0.6)
(1.1)
(1.1)
(1.8)
(2.5)
(2.5)

:
pH
7.524
0.001
()
0.003
PCO2
40.9
0.09
(0.2)
0.47
PO2
92.2
0.08
(0.1)
0.72
Sodium
151.9
0.08
(0.1)
0.92
Potassium
7.11
0.010
(0.1)
0.08
Chloride
97.6
0.06
(0.1)
1.03
ionized Calcium
0.64
0.001
(0.1)
0.01
Glu mg/dL
71.9
0.3
(0.4)
1.7
Glu mmol/L
3.94
0.02
(0.4)
0.09
:

43

pH
PCO2
PO2
Sodium
Potassium
Chloride
ionized Calcium

7.44
43.6
83.1
122.3
2.92
79.2
0.81

0.0005
0.09
0.15
0.09
0.004
0.07
0.001

()
(0.2)
(0.2)
(0.1)
(0.1)
(0.1)
(0.2)

0.002
0.44
0.61
0.64
0.02
0.78
0.007

()
(1.0)
(0.7)
(0.5)
(0.8)
(1.0)
(0.9)

0.003
0.45
0.63
0.65
0.02
0.80
0.007

()
(1.0)
(0.8)
(0.5)
(0.8)
(1.0)
(0.9)


( ).


37
CO2 O2 0.03%.
, 3 3
Opti Medical OPTI CCA. . . ..

Swr

10.4

10.9

0.28

0.5

105 %

27.6
27.8
45.0
60.6
69.2
80.1
100.8
201.3

9
9
9
9
9
9
9
9

29.3
29.1
44.2
60.3
69.4
81.2
102.4
195.5

0.36
0.41
0.33
0.55
0.55
0.68
1.15
1.21

1.7
1.3
-0.8
-0.3
0.2
1.1
1.6
-5.8

106 %
105 %
98 %
100 %
100 %
101 %
102 %
97 %

PCO2

Swr

20.8

21.2

0.97

0.4

102 %

41.5
48.6

7
7

39.9
50.0

1.03
0.84

-1.6
1.4

96 %
103 %

PO2

44

75.4
120.4
201.3
300.5
489.4
499.5

7
9
8
9
7
7

75.1
121.2
206.3
296.8
489.5
485.9

1.04
2.06
2.67
4.91
12.92
16.22

-0.3
0.8
5.0
-3.7
0.1
-13.6

100 %
101 %
102 %
99 %
100 %
97 %

, Opti Medical OPTI CCA


. pH
,
CO2, AVL 995,
NIST, 3 Opti Medical OPTI CCA.
PCO2 PO2 ,
, 37
CO2 O2 0.03%,
3 Opti Medical OPTI CCA.
, , ,
,
NIST( ST, ST, ST, ST, ST)
NIST (956
( NIST, NIST NIST)).

NIST (965 (
NIST)).
( CL).

.19
.

45

19

NCCLS. Reference and Selected Procedures for the Quantitative Determination of Hemoglobin in Blood 2 nd
Edition; Approved Standart. NCCLS document H15-A2. NCCLS, Villanova, PA, 1994.

20

Sy*x

pH
PCO2
PO2

1.0174
0.9681
0.9844

-0.1099
2.148
1.864

0.99972
0.99967
0.99974

0.006
1.53
4.52

6.85 7.67
11 - 201
21 500

81
81
68

ST

0.9788
0.9964

2.456
0.116

0.99911
0.99893

1.32
0.14

104 188
1.0 9.0

30
30

ST
ST

ST
NIST

1.0076

-0.56

0.99984

0.68

58 - 160

15

1.0022

-0.0025

0.99983

0.017

0.2 - 3.0

24

1.0172

3.244

0.99957

0.55

121 161

18

NIST

NIST
CL
D

0.9723

0.135

0.99956

0.05

2.0 6.0

18

0.9938

0.0081

0.99843

0.016

1.07 - 1.71

12

1.0064
1.0181

-2.44
-0.103

0.99823
0.99943

1.66
0.07

74 - 142
1.5 7.0

16
22

0.9995

0.0005

0.99968

0.025

0.2 3.0

21

Glucose STmg/dL

0.9874

3.26

0.9959

7.57

Glucose STmmol/L

0.9874

0.181

0.9959

0.420

Glucose NISTmg/dL
Glucose NISTmmol/L

1.0256
1.0256

-7.79
-0.432

0.9912
0.9912

8.13
0.451

Total Hemoglobin

0.9839

0.165

0.99483

0.59

pHD

1.0458

-0.325

0.99959

0.003

30 - 400
1.6 23.0
97 - 306
5.4 - 17
5.2
22.0
7.21 -

126
126
36
36
84
8

46

PCO2 D

0.9575

1.141

0.99840

1.40

7.50
28 - 82

20

Model equation for regression statistics is:[results og OPTI Analyzer]=slope(m)[comparative method results]
+intercept(b).

c
Opti Medical OPTI CCA

, ,
.
Opti Medical OPTI CCA ,
.
: Chiron 865

pH
PCO2
PO2
Sodium
Potassium
ionized Calcium
ctHb
SO2%

0.9269
0.9751
0.9419
0.6500
1.0816
0.8732
1.0285
0.8678

0.534
1.623
3.28
50.15
-0.138
-0.064
-0.375
12.99

Sy*x
0.9789
0.9871
0.9976
0.5721
0.9857
0.8392
0.9778
0.9738

0.013
1.16
18.27
2.21
0.13
0.07
0.47
0.73

7.17 7.52
28 72
36 - 563
126 149
2.1 6.4
0.7 - 1.3
6.0 16.1
73 100

n
103
103
103
103
103
103
103
103

: Roche OMNI

Sy*x

n
47

pH
PCO2
PO2
Sodium
Potassium
Cloride
ctHb
SO2%

1.0800
0.9740
1.0192
0.9313
1.0225
0.9965
0.9866
0.7972

-0.579
2.66
-4.13
9.34
-0.008
0.95
0.14
18.80

0.9954
0.9937
0.9969
0.9180
0.9673
0.9246
0.9715
0.9064

0.009
1.12
4.10
1.95
0.15
1.96
0.37
1.81

7.01 7.55
24 92
34 291
129 156
2.4 6.0
92 117
6.9 14.8
64 100

173
173
173
173
173
173
173
173

: NOVA Stat 5

pH

1.1260.018

PCO2
PO2

0.9880.022
0.9180.087

Sodium

1.0840.226

Potassium

1.0210.019

-0.946
0.134
0.8071.015
8.0831.402
-14.929
3.176
-0.087
0.077

Sy*x

0.9868

0.018

7.09 7.58

105

0.9750
0.9954

2.584
8.032

23 81
29 407

105
105

0.9784

1.826

128 174

105

0.9630

0.197

2.3 9.4

105

: SenDx 100

pH

1.0030.008

PCO2

1.0730.011

PO2

1.0410.006

Sodium

1.0800.021

Potassium

1.0500.126

-0.032
0.058
-2.785
0.521
-6.244
0.931
-6.382
2.855
0.062 0.055

Sy*x

0.9947

0.014

6.86 7.63

175

0.9910

2.050

17 122

175

0.9969

6.379

37 598

175

0.9678

2.007

117 163

175

0.9879

0.055

2.2 9.4

175

: SenDx 100

48

pH

1.1040.010

PCO2
PO2

1.0670.009
0.9930.009

-0.739
0.077
-4.41 0.468
1.646 0.893

Sy*x

0.9919

0.014

6.81 7.62

183

0.9936
0.9925

1.817
4.458

22 120
34 322

183
183

: AVL 912

ctHb

1.0770.020

SO2%

1.0210.016

-0.284
0.277
-2.920
1.522

Sy*x

0.9650

0.739

5.4 17.4

215

0.9752

1.470

62 100

215

: ACCU-CHEK

Glucose mg/dL
Glucose mmol/dL

1.0079
1.0079

-0.7539
-0.4

Sy*x
0.9932
0.9932

6.509
0.36

30 400
1.7 22.2

n
138
138

: Hitachi

Glucose mg/dL
Glucose mmol/dL

0.9986
0.9986

-2.34
0.13

Sy*x
0.9866
0.9866

8.5
0.47

44 398
2.4 22.1

n
167
167

: Opti Medical OPTI CCA


49


Glucose mg/dL
Glucose mmol/dL

1.058
1.058

2.36
0.13

Sy*x
0.97
0.97

21.6
1.20

37 395
2.1 21.9

n
103
103


1. Tietz, Norbert W., Ed., Clinical Guide to Laboratory Tests, 2nd Ed., (Philadelphia:
W.B.Saunders, Co., 1990) p. 436.
2. Burritt MF, Pierides AM, Offord KP: Comparative studies of total and ionized serum calcium
values in normal subjects and in patients with renal disorders. Mayo Clinic proc. 55:606, 1980.
3. Siggaard-Andersen O, Durst RA, Maas AHJ. IFCC/IUPAC approved recommendation (1984)
on physicochemical quantities and units in clinical chemistry. J Clin Chem Clin Biochem. 25:369391, 1987.
4. Burtis C. Ashwood E (Eds.), Tietz Textbook of Clinical Chemistry, 2 Ed., (Philadelphia: W.B.
Saunders, Co., 1994) pp.1354-1360,2180
5. Guilbault GG, Ed., Practical Fluorescence, 2nd Edition, Marcel Dekker, 1990
6. Kautsky H, Quenching of Luminescence by Oxygen, Transactions Faraday Society 35, p.216,
1939
7. CDI, 3M Healthcare System 200 Extracorporeal Blood Gas Monitor. See, for example,
Lubbers DW, Gehrich J, Opitz N, Fiber Optics Coupled Flourescence Sensors for Continuous
Monitoring of Blood Gases in the Extracorporeal Circuit, Life Supports Systems 4, p.94, 1986.
8. Peterson JI, et.al., A Fiber Optic pH Probe for Physiological Use, Anal.Chem. 53,p.864, 1980 .
9. Wolfbeis OS, Offenbacher H, Fluorescence Sensor for Monitoring Ionic Strength and
Physiological pH Values, Sensors and Actuators 9, p.85, 1986.
10. Vurek GG, Feustel PJ, Severinghaus JW, A Fiber Optic PCO Sensor, Ann.Biomed.Eng. 11,
p.499, 1983.
11. Tsien R, New Calcium Indicators and Buffers with High Selectivity Against Magnesium and
Protons, Biochemistry 19, p.2396-2404, 1980.
12. Shapiro BA, Harrison RA, Cane RD, Kozlowski-Templin R. Clinical Application of Blood
Gases, 4th ed., (Chicago: Year Book Medical Publishers, Inc., 1991). P 79.
13. Kaplan LA, Pesce AJ. Clinical Chemistry: Theory, analysis and correlation, 2nd Ed.
(St.Louis: C.V.Mosby Co. 1989) p 590-591.
14. Siggaard-Andersen O, Durst RA, Maas AHJ. IFCC/IUPAC approved recommendation (1984)
on physicochemical quantities and units in clinical chemistry. J Clin Chem Clin Biochem. 25:369nd

50

391, 1987.
15. Mahoney JJ, Wong RJ, Van Kessel AL, Reduced Bovine Hemoglobin Solution Evaluated for
Use as a Blood Gas Quality Control Material. Clin.Chem.39/5,874-79 (1993)
16. J.B.Henry, Clinical Diagnosis and Management by Laboratory Methods, 19th Ed., 1996,
p.590,777
17. Wolfbeis OS, Offenbacher H, Fluorescence Sensor for Monitoring Ionic Strength and
Physiological pH Values, Sensors and Actuators 9, p.85, 1986
18. NCCLS. Interference testing in clinical chemistry; Proposed Guideline. NCCLS Publication
EP7-P. Villanova, PA; NCCLS, 1986
19. NCCLS. Interference testing in clinical chemistry; Proposed Guideline. NCCLS Publication
H15A2. Villanova, PA; NCCLS, 1986.

Opti Medical OPTI CCA




, Opti Medical OPTI Critical Care
Analyzer, .
,
, Opti Medical OPTI CCA:
,
.
.
.
,
.
Opti Medical OPTI CCA
.
51


Opti Medical OPTI CCA , , pH, PCO2, PO2, Na+, K+, Ca++, Cl-,
Glu, tHb SO2, .
Opti Medical OPTI CCA
:
pH

PCO2

PO2

Na+

K+

Ca++

Cl-

Glu

tHb

SO2


X
X
X
X
X
X
X
X
X
X
/
X
X
X
X
X
X


X
X
X
X
X
X
X
X
X
(OPTI CHECH)

(OPTI CHECH
X
X
X
X
X
X
X
X
X
X
PLUS)

X
X
X
X
X
X
X
X
( QC)
, (. 1-1)

On/Off /

52

Battery -
Printer -
Display -
Status Light
Keypad -
Sample Measuring Chamber

Gas Bottle
Bar Code Reader -

53

1-1 Opti Medical OPTI CCA


10 ,
Enter Esc .

(. 12)

1-2


2 24
,
,

(. 1-3).

54

1-3
.
:
:
.
:

. .
:
,
.
. 1-4
:

,
.


(SMC)
Opti Medical OPTI CCA.
,
. (.1-5)
2


1-5

Opti
Medical OPTI CCA
.
,
(. 1-6).

55

1-6
Opti Medical OPTI CCA
Opti Medical OPTI CCA

,

.
,
. ,
,
.
1-7

:
,
.
:
.
.
Opti Medical OPTI
CCA ,

.
,
-(. 1-8).

1-8


-,
,
QC, ,
, SRC, .
-
(.
1-9).

56

1-9
-



(. 1-10).

26 .

, ,
,
.(. 1-10)
1-10


,

. Opti
Medical OPTI CCA
(. 1-11).
:

(
).
1-11


,
(. 1-12)

57

1-12


:
RS232


-
,
.

,

(. 1-13)
1-13
Opti Medical OPTI CCA


. ,
(. 1-14).
Opti
Medical OPTI CCA,
.
( 6.5.4.
)
Opti Medical Battery
Charger BP7036(110V)
BP7025(220V).
1-14


,
Opti Medical OPTI CCA
(. 115).

58

/(On/Off) ,
(. 1-15)

1-15

!

.

Opti
Medical OPTI
,
. ,
, ,
:
,
.
.
10 - 32 (50-90 F)
95%.
, .
,
, .
.
,
, , .
.

59

: , , ,
Opti Medical OPTI CCA .
Opti Medical OPTI CCA.
, ,
, .
, :


(OPTI CHECK OPTI CHECK PLUS (
)


2 (SRC) (1 3 )
tHb

Opti Medical OPTI CCA


.
,
.
1.


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2-1)

.

.

2-1
: Opti Medical OPTI CCA
- , Opti Medical
.

60

2.

Opti Medical OPTI CCA(.
2-2).
:
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Opti Medical OPTI CCA.
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.
2-2 /

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(1 1,5 ),
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3.

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2-3 /

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61

4.

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,
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(MMM).
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62

5.


,
.
Esc.
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2-4)
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:
9

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,
.
: -

. Opti Medical OPTI CCA
2
,

2-4
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,
Yes No.
Enter, .

63

Opti Medical OPTI CCA .


, READY.

6.

.
, (. 2-5).
1001 3999
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4000 ,
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,
.


,

(. 2-6)

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.

2-6

64


(SRC, 1 3), .
4, 4.5.1 SRC .
! Opti Medical OPTI CCA .

Opti Medical OPTI CCA ,


.
, ,
,
.
: Opti Medical OPTI CCA
.

.
:
, .

65


, SRC .
.
4
5 .


1. Enter,
Menu.
2. TimeDate
.
3. Enter,
; .
4. Esc,
.
,
,
.
, .
5. Enter, .
AM PM. (
24
, .
8).
6. .
7. Enter, ,
.
8. ,
(DD),
.
9. Enter, .

(MMM).
10. ,
.
11. Enter,
.
(YY).
12. ,
(YY),
.
13. Enter,
Menu.

66

:
12 24
( 3.3.8.2)

,

.
1.
2.
3.
4.

Ready Enter, Menu.


, Setup .
Enter, .
404( ), .
: ,
,
(
3.3.8.1).
:
, .




Opti Medical OPTI CCA.

67

1.
2.
3.
4.

READY Menu Ready.


, Baro .
Enter, .
Enter, .

: , ,
, (
).
:
mmHb
SI (
3.3.8.2).



.
,

.
1. READY Menu
Setup Print.
2. ,
(
ON).
3. ,
.
4. Enter,
.


,
,
.

68

,
.

,

.
,
, ,
.
:

.
1. READY Menu
Setup Format.
2. Printout
.
3. Enter,
.
4. ,
.
5. Enter, .

6. (BE),
, (On)
(Off) .
Enter, .
7.

( ).

69

, Enter, ,
BE.

: ,
* (ON) .
cH+, SO2 AaDO2
.
8. 4 7


,
.

,
.
3 (
):
(ABG), (Lytes)
, (Hb).

1.
2.
3.
4.

:
,
,
.
Ready Menu Setup
Format.
Display .
Enter, .
,

(pH, PCO2, PO2),

. Enter,
.

70

: ,
AGB BE, tCO2, HCO3, BB, BEact, BEecf, stHCO3, stpH, cH+, SO2(c), AaDO2,
O2ct. 37C,
, ,

5. ,
(Na+, K+, Ca++ Cl-) ,
. Enter, .
:
tCO2, HCO3, AnGap nCa++.
6. ,
(PO2, tHb, SO2), ,
. Enter, .
: , Hb
Hct(c), SO2(c), AaDO2, O2ct, P50. 37,
.

1. READY Menu Setup


Format.
2. , Blanking
.
3. Enter,
.
4. , Yes No.
Yes
( )

.
No
-
.

71

5. Enter, .
6. , Yes No.
Yes tHb/SO2
.
: Yes, tHb/SO2
.
: Yes,
tHb/SO2, (
5.2) tHb,
,
( 3.3.7.2 5.2).
7. Enter,
.
8. , Yes No.
Yes Ca++
.
: Yes,Ca++
.
9. Enter,
.
10. , Yes
No.
Yes Cl
.
: Yes,Cl
.
11. Enter,
SETUP
Format.
12. Esc 3 ,
READY.

72

.
1. READY Menu
Setup Format Beep.
2. ,

.
3. ,
.
4. Enter,

Setup Misc..
5. Esc 3 ,
READY.


READY Menu Setup
Pat. Info.
.
ON/OFF

.
Defaults
.
Limits
,

pH, PCO2
.

73

,
.

,
,
.
1. READY Menu
Setup Pat. Info ON/OFF
2.
()
.
3.
, ,
OFF .
, ON
. Enter,

.
Patient ID ON,

.
4. Optional
Required .
Required,

.
5. Enter,
.

, Enter,
, .
:

74

: *
.
: ,

/
,
.




,
.

,
.

75




,
.

(ON).
,
,
.
1. READY Menu Setup Pat. Info Defaults.
tHb. tHb,
, tHb .
2. , ,
.
3.
4. , Enter, .
:
tHb P50
3.3.8.2.

:

: ,
,
. ,
,

.





, pH, PCO2
.
76

Reference,
Normal, Physiologic, Alarm
Critical. ,
,

, ,
.
:
, ,


,
,
.
1. READY Menu Setup Pat. Info Limits.
2. , (Limits
label), .

77

3. Enter,

.
4.
pH. ,
,
.
5. .
6. Enter,
.
,
/ PCO2,
PO2
.

:

78

: ,
,

.
:

,
. , pH
6.600, 7.800
(
).
: ,
,
.

Misc.

.
1. READY Menu
Setup Misc.


Opti Medical OPTI CCA 3
: 1)
;
2)
;
3)
.

79

1. READY Menu Setup Misc Security


Opti Medical OPTI CCA
, , ,
Setup(
Time/Date)
.
,
.
,
.
404.
0 9999.
1. , ,
.
2. Password
.
3. ,
.
4. Enter, .
None ,
- .
Password ,

(Setup, Database, ).
5. Enter,
.
6. password,
.
Enter.
: ,

, .
,
Opti Medical

80

Technical Support. ,
.



,

. Opti Medical
1 3,
.


,
.
.
:
1. QC Lockout
.
2. ,
.
3. Enter, .
None ,
.
Setup Misc.
4. Esc 3 ,
Ready.

SRC Lockout -
1, 2 3 SRC
.
SRC ,
.

81

8h - SRC 8 .
12h - SRC 12 .
24h - SRC 24 .
7d - SRC 7 .
4. ,
.
5.
Enter,
.
6.
Esc 4 ,
READY.
:
,
.
/
Control Lockout -
1, 2 3
.

,
. 1, 2 3
,

.
8h - 8
.
12h - 12
.
24h - 24
.
7d - 7
.
4. ,
.
5. Enter,
.
6. Esc 4 ,
READY.
:

,

82

. ,
SRC QC.
.
.
:
,

( 4).
,

.
,


.
/
New Lot
Lockout



.
1


60
.
,

.
: , . ,
SRC QC.
.
.

83

4. ,
.
5. Enter, .
6. Esc 4 ,
READY.





.
1. Op. ID
Enter,
Op. ID.
2. YES Enter,
Secure Op. ID.
:
, Secure Op
IDs, ,
.
3. ,
.
4. Enter, .
Add- ,
ID .
11 .
150 ID
, PIN .

84

5. ,
.
6. Enter, .
7. 4 PIN, .
: 4 PIN ,
. ID ,
. PIN .
8. Enter, Secure OP.
ID.
9. Enter,

Esc 5 ,
READY.

Delete -
ID .
5. ,

.
6. Enter,
Secure Op.
IDs.
7. Enter,

Esc 5 ,
READY.
Print -
ID
, PIN ,
.



,
, ,
.

85

1. READY Menu Setup Misc. Unit


2. , , ,
SI .
3.
( ).
: SI,

mbar,
kPa.

,

. ..
4. Enter,
.
5. ,

(
).
6. Enter,
.
7. ,
12 24 .
8. Enter,
.
9. ,

( g/dL).
10. Enter,
.
11. ,

Ca(
mmol/L).
12. Enter,
.
13. ,
(
mmol/L).
14. Enter,
.

86

15.
, .
16. Enter,
SETUP.
17. Esc 3 ,
READY.
: Resolution
.
SRC.
.

: PO2 PCO2 100 mmHg



.
Opti Medical OPTI CCA
:
Baro/Partial Pressure():
Time():
Temperature():
tHb:
Electrolytes:
Resolution
Glucose

mmHg
24hr

g/dL
mmol/L
Low
mg/dL

87

:
- ,

.



Opti Medical
OPTI CCA
.
pH, PCO2, PO2, Na , K ,
Ca , Cl , Glu, tHb SO2.
+

++

:
,

.
1. READY Menu
Setup Misc Corr.
2. ,
Patient.
3. Enter,
.
4.
pH. ,
,
.
.
5. Enter,
.
6. pH
, .
7.
,

.
:
1000
0.000 . ,
.

88

8. Enter,
.
9.
,
,
.
:

pH, PCO2, PO2, Na , K , Cl ,
Ca , Glu, tHb SO2.
+

++

10. Esc 3 ,
READY.
: ,


, ;
10
Opti Medical OPTI CCA
, ,

.


Opti Medical OPTI CCA
RS232
9600 .
ASCII, ASTM
Mobile-ASTM.


1. READY Menu
Setup Misc Comm
2. ,
Format .
3. Enter,
.
4. RS232
IR .

89

5. Enter, .
6. , ASCII, ASTM
Mobile-ASTM.

ASCII Format - Opti Medical. Opti


Medical OPTI CCA
.
ASTM Format -
ASTM,
.
Mobile ASTM FORMAT -
, ASTM,
.

,
, Oasmetec OPTI CCA
.

( 4),
ASTM
. ASTM

.
: ASTM

RS232.
: Mobile-ASTM
, Opti
Medical OPTI CCA

,
ASTM .
7. Enter,
.
8. Esc 4 ,
READY.




,
Ready.
90

1. Auto-Export.
2. Enter, .
3. , .

OFF Power-On
Export.
ON Power-On Export
,
SRC .

4. Enter,
.
5. Esc 4 ,
READY.
:
4.5.5,
.


,
Opti
Medical OPTI CCA.
1. READY Menu
Setup Misc Lang
2.
.
3. Enter, .
4. Esc 3 ,
READY.
: ,

,
, Opti
Medical Technical
Support( Opti
Medical).

91




,
.
1. READY Menu
Setup Misc Batt
2. ,
, .

AutoOff -
,
.
60 Min -
,
60 .
10 Min -
,
10 .
AlwaysOn -
Ready,
.

3. Enter,

.
:
, Enter.

92

1. READY Menu
Setup QC.
2. ,
.
3. Control Enter.
4. 36 -
SWIPE A
,
OPTI CHECK OPTI CHECK
PLUS.
5. 36 -
SWIPE
,
OPTI CHECK OPTI CHECK
PLUS. 2 -

,


.
6. OPTI CHECK
PLUS, 3 36
- SWIPE
C .
: -
, Enter
, ,
Control
.

93

OPTI
CHECK OPTI CHECK PLUS
,
,
.

, .
:
OPTI CHECK OPTI CHECK PLUS
Opti Medical OPTI
CCA
.
,
,
, .
:
,
, .
1. , ,
,
,
,
Enter. ( -
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Enter).
2. ,
,
. Y
Enter,
.
3. Y Enter,
.
:
,
.
:

, N
.

94

4. , ,
,
,
.
- ,

.
5.

Enter ,

.
6. ,
- ,

,
,
.
- ,

. OPTI
CHECK .
7. Enter,

.
8. , ,
pH,
,

. -
,

.
9. Enter,


,
.
0.0 .
:

95

.
, .
: ,
. Esc ,
- pH,
.

,
2 3
.

(SRC)
SRC,
,
. SRC
,
.
:

SRC .
1. READY Menu
Setup QC.
2. ,
.
3. SRC Enter.
4. SRC
,
-
-,
.
-
,
.
,
(,
).
:
-

96

, . - ,
.
5. , Enter,
Esc, SetupQC.
6.
,
Esc,
Setup-QC
menu.
:
SRC,
/

.
,

7. ,
Y N.
8. Enter, .
9. ,
Y N.
10. Enter,
.

(SRC),

SRC.

97

Opti Medical OPTI CCA


.
,
.
-, ,
.
,
.
, ,
, /
. ,
.
,
,
.
, , ,
,

, ,
, .
tHb 3 . ,
tHb ,
tHb / .
tHb .
HbCal Opti Medical OPTI CCA. HbCal Last
Blood, Opti Medical OPTI CCA
tHb. Last Blood , Opti Medical OPTI CCA
,

.

98

,
HbCal, 6.3"
.


,
.
,
, ; ,
.


.
.
:

, ,

,

, ,



.
,
,
. ,
, ,
, .
, ,
, ,
.
99

: Opti Medical OPTI CCA


. ,
.
The Joint Commission on Accreditation of Healthcare Organizations(JCAHO)
( )
. The Health Care Financing
Administration(HCFA) National Committee on Clinical Laboratory
Stndards(NCCLS)
.




,
.
Opti Medical OPTI CCA,
,
,
.

, Opti Medical
PO2 PCO2,
,
tHb pH
. , Opti Medical
, FDA, Federal Register
39, No. 126, 24136-24147.


(SRC)
Opti Medical OPTI CCA. Opti Medical , SRC

.
,
, ,
.
, SRC.
:
,
.
2 ,
OPTI CHECH OPTI CHECK PLUS
, Opti Medical.
pH, PCO2
100

, .
, ,
.
Opti Medical pH/
// ,
tHb ,
.

SRC
1. READY Menu,
Enter.
2. SRC
.
3. Enter, .
4.
4 PIN;
, Enter.
:
, ID
,

,
ID.
:

ID ,

4 PIN ID
.
:
ID ,
-

-.
5.
, .
SRC, ,

.
, (.
4-1).
101

4-1 SRC
6.
. ,
,
,
SRC ,

.
.
,
, Enter,
.
,
Esc,
RUN. ( 3.4.2,

(SRC)).
: Opti Medical OPTI CCA
SRC

SRC.
, ,
SRC ,
,
.
( 60 )
.
7. ,
. Enter,

. Enter
3 .

102

:
( E-).
: Esc ,
.

,
,
Pass.

,
,
Fail.
8.
SRC .
9.
.

SRC ,
SRC,


.
,

.


SRC
.
,
.

:




SRC.
SRC ,

103

( 7554).

SRC.

SRC
SRC.
1. READY Menu,
Enter.
2. Data
.
3. Enter, .
4. SRC
.
5. Enter, .
6.
,
.

Last 5:
5
SRC .
,
,
Next 5( 5)
SRC
.

Statistics:

SRC 30
. ,
SRC.

7. Statistics,
.
.

104

, Print .
8. Enter.
9. . , Y.
10. Enter.
11. ,
,
SETUP.
12.
SRC
.
13.
Esc 3 ,
READY.


C QC
. Opti
Medical Inc. , QC

2 .
,
Opti Medical, OPTI
CHECK OPTI CHECK PLUS,
.
,

3 .
:
,
.
: PO2
.


.
,
.

105

(OPTI CHECK, OPTI CHECK


PLUS)
1. READY Enter,
Menu.
2.
Control.
3. Enter, .
4. 4 PIN;
, Esc.
:
, ID ,

,
ID.
:
ID
,
4 PIN ID
.
: ID
,
-
.
5.
.
6. Enter,
.
7. Enter, .
:
QC, , ,
, ,
.( 3, ).
, ,
, .
8.
-,
Opti Medical OPTI CCA, ,
,
106

(. 4-2).
, -.
, .
:
4-2 - -
.
: -
,
-,
.
:
, .

9. (. 43), -.

.

4-3
10. ,
(. 4-4).

4-4
:
QC ,
,
(. 4-5).

107

4-5
11. .
,
(. 4-6).

4-6
12. (.
4-7).

4-7
13. .

, ,
.
:
,
,
.
14.
.


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. .

108

, .
, .
:
, .


,


:

, .
, 45
(. 4-8).
.

4-8
: ,
,

.
15.
,
. 4-9 . 4-10.
4-9
16. Enter. QC
.
,
, .

109

4-10


.
: Opti Medical
OPTI CCA ,
,
.
17. Enter,
.
:

( E-Ca).

18. , Accept
.
19. Enter,
.

Review,
.
Reject/Edit,

.

, Esc.
Enter,

110

4 PIN# /
.
: ,
,
. ,

.

:
,
,
.
20. .


, .


Opti Medical OPTI CCA

(SD) (CV)
.
1. READY Menu,
Enter.
2. , Data .
3. Enter.
4. , Control
.
5. Enter.

111

6. , ,
.
7. Enter.
: L1 30
1 , . , L2 2
, L3 3 .

8.
. ,
, Print.
9. Enter.
:
(All, L1, L2 L3).
:
, Esc.
10.
. , ,
Y.
11. Enter.
12. ,
, ;
Setup .
:
L1, L2 L3,
6 9, All, ,
/.
13. Esc 3 ,
READY.


: ,
,
Opti Medical OPTI CCA(
3.3.8.4)
.

112

:
( BK7002) ,
Opti Medical
OPTI CCA ,
RS232.
: Opti
Medical OPTI CCA IR-,
IR-.
1. READY Menu,
Enter.
2. , Data
.
3. Enter.
4. , Export
.
5. Enter.
6. ,
(, SRC,
).
7. Enter, .

8. , ,
Setup.
9. Enter.

113


,
.
.
DATA
.
1. DATA Delete.
2. Delete ,
. Enter.
,
, .
All(
, SRC, ),
. Esc,
Enter,
.

114


Opti Medical OPTI
pH, PCO2, PO2, Na+, K+, Ca++, Cl-, Glu, tHb SO2
, pH, Na+, K+, Ca++, Cl- Glu .
,
Opti Medical Opti Medical
OPTI CCA.
:
.



, Opti
Medical. ,
5 . ( ),
.
:
, .
EDTA, , ...
, .
:
.
tHb. ,
.
1 , , .

115

( ,
)
Opti Medical OPTI CCA
. ,
READY,
.
1. Opti Medical OPTI CCA
.
, .
:

(
3.3.8.4.2)
, SRC
.

Enter,
READY.
:
, Opti Medical OPTI CCA
.
,
.
, 6.5.1
,
.
2.
-
- ,
(.
5-1).
116

-
,
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, - (,
).
7 ( ).
5-1 -
:

-. -
, -
.
:
, ,


.

.
, .

4 PIN,
.

3. :

Opti Medical
OPTI CCA
(. 5-2).

: ,

Opti Medical,
,
.
: ,
-,
.


,
.
117

5-2

,

(SMC)(. 5-3).

5-3

.
,
(. 5-4).

5-4

,
(. 5-5).
,
,
,
.

118

: , ,
.
5-5

4.
, (

4
).
: Opti Medical OPTI
CCA 10
. ,
,
.
:
tHb/SO2 (
3.3.5),

Enter.


.
5.

,

(. 5-6).

.
:

tHb.

.

119

5-6

6. ,
Opti Medical
(. 5-6
. 5-7) Enter.
.
:
, ,

.
:
! .

5-7

.
,

.

.
,
.

120

7.
, Enter,
.

:
Operator ID (10 )( )
Patient ID (15 )( )
Accession Number (12 ) (
)
Sex ((, ?))
( 37.0)
O2 (RmAir/Mask/TP/NC/Vent/Bag/Hood/Other)
:
RmAir=
Mask=
T-P=
NC=
Vent=
Bag=
Hood=
Other=

Bypass
Liter flow ( 000.00
Lpm)
FIO2 ( 0.21)
:
Art/Ven/MixVen/Cap/Cord/CPB)
:
Art =
Ven=
MixVen=
Cap=
Cord=
CPB=-

(LR/RR/LB/RB/LF/RF/Cord/Scalp)
:
LR=
RR=
LB=
RB=
LF=

121

RF=
Cord=
Scalp=

:
(No/SIMV/PSV/PCV/CMVAC/CPAP/PCIVR/BIPAP)
:
No=
SIMV=

PSV=

PCV=

CMV/AV=

CPAP=

PCIVR=

BIPAP=2

Tvol (VT) ( 0 mL)


Mvol (VE) ( 0 L)
PIP ( 0)
Pplat ( 0)
PS ( 0)
PEEP ( 0)
CPAP ( 0)
Rate ( 0 bmp)
I/E Ratio ( 0)
Hb Type ( ,
)
tHb ( 15 g/dL)
FIO2 ( 0.21)
MCHC ( 33.3%)
RQ ( 0.84)
P50 ( 26.7 mmHg)
User Field (9 )
User Field 2 (9 )
User Field 3 (9 )
* Ca++

122

* Cl* Blank tHb/SO2

:
, ,
,
.
Enter,
.
: , ,

( 3.3.7.1).

. Esc
, (
, Setup
( 3.3.5)).
;

.
:
,
-
.
* :
blanking()

( 3.3.5
).

123

,

.



, Esc.
:
3 ,

.
4
.
,

.
:
,

. ,

.
:

( 3.3.4).
Enter,
,
.
:


( 9.2,
).
: Esc,
.

124

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100
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135


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Opti Medical OPTI CCA
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Opti
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Opti Medical OPTI CCA
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Opti Medical OPTI CCA, ,
Opti Medical OPTI CCA.
Opti Medical OPTI CCA ,
, Opti Medical

138


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150

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152

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Opti Medical
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153

:
Opti Medical OPTI
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Hb. ,
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154

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155


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157


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T1
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4000, .

4000
.

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99%.
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159

, -,
( 6.5.1 ) Enter,
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160

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Opti Medical OPTI CCA.
162

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,

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L1, L2, L3 = ,

163

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Esc, DIAG.

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164


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165

(On) (Off) .
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166


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167

READY Menu-Diag-Diag2-Diag3-Pump.

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( 50 800 /) DIAG3.



.
READY Menu-DiagDiag2-Diag3-Keypad.

Enter, .
.
. (
,
)
Esc,

DIAG3.

168

pH
PCO2
PO2
Na+
K+
Ca++
ClGlu
Glu
tHb
SO2

(/)

6.6 7.8
10 200
10 700
100 180
0.8 10
0.2 3.0
50 160
30 400
1.7 22
5 25
60 100

0.01/0.001
1/0.1
1/0.1
1/0.1
0.1/0.01
0.01
1/0.1
1/0.1
1/0.1
0.1
1/0.1

pH
. .
. .
/
/
/
/
/
/
/
%


300 800 . .


3048(10000 )


2 , .

.

169


Medical




125
,
, Opti

2
10 32(50 - 90)
5%-95%()
, tHb/SO2
/


ID
99999999999
ID
999999999999999

999999999999

14 - 44(59 - 111)

, ?



LR/RR/LB/RB/LF/RF/Cord/Scalp
:
LR=
RR=
LB=
RB=
LF=
RF=
Cord=
Scalp=

/
Art/Ven/MixVen/Cap/Cord/CPB)
:
Art=
Ven=
MixVen=
Cap=
Cord=
CPB=-

, tHb

1 26 / / 1 260 / / 1 16 /
170


, MCHC%

O2

FiO2
(RQ)
P50

29.0 37.0 %

RmAir/Mask/T-P/NC/Vent/Bag/Hood/Other)
:
RmAir=
Mask=
T-P=
NC=
Vent=
Bag=
Hood=
Other=
0.21 1.0
0.70 2.00
15 40
No/SIMV/PSV/PCV/CMVAC/CPAP/PCIVR/BIPAP)
:
No=
SIMV=

PSV=

PCV=

CMV/AV=

CPAP=

PCIVR=

BIPAP=2

, Tvol(VT)
, MVOL(VE)
, PIP
, Pplat
, PS

0 4000
0 120
0 140
0 100
0 99.9
0 50

171


, CPAP
(f)
(FR)
/, I/E Ratio
2
1, 2, 3

0 - 50
0 155
000.00 300.00
0.2 9.9 / 0.2 9.9
0 9.9 / 0 9.9
999999999


(HCO3-)
1.0 200.0 /
(BE)
-40 - +40 /
(BEecf)
-40 - +40 /
(BEact)
-40 - +40 /
(BB)
0.0 100.0 /
CO2 (tCO2)
1.0 200.0 /
(st.HCO3)
1.0 200.0 /
pH(st.pH)
6.500 8.000
(SO2 sat)
0.0 100.0%
(O2 t)
0.0 56.0 /
(Hct(c))
15 75%
(cH+)
10.0 1000.0 /
- (AaDO2)0.0 800.0 . .
(AG)
3 30 /
P50
15.0 35.0 . .
n Ca++
0.1 3.0 /

pH t
PCO2t
PO2t
t

6.6 7.8
10 200
10 700

(/)
0.01/0.001
1/0.1
1/0.1

pH
. .
. .

172

18 23

Tietz 1, 2179

-2 +3

Tietz 1, 2179


(BEecf)

(BEact)
(BB)

-2 +3

Tietz 1, 2179

-2 +3

Tietz 1, 2179

46 52

Henry 2, 152

CO2 (tCO2)

22 29

Tietz 1, 2179


(st.HCO3)

pH(st.pH)

(SO2 sat)
(O2
t)
(Hct(c))

(cH+)

(AaDO2)
(AG)

22 24

Shapiro 3, 175

e pH

7.35 7.45

Tietz 1, 2179

95.0 98.0

Henry 2, 1453

15.0 23.0

Tietz 1, 2179

%
/

34 51
36 44

Tietz 1, 2179
Tietz 1, 2179

. .

5 20

Henry 2, 157

10 20

Tietz 1, 2179

P50

. .

25 29

Tietz 1, 2179


(HCO3 -)
(BE)

1 Tietz, Norbert. W., Reference Intervals, pp 2175 2217, Tietz Textbook of Clinical Chemistry, 2 nd Edition,
Philadelphia, W.B. Saunders Co., 1994.
2 Henry JB, Clinical Diagnosis and Management by Laboratory Methods, 19 th Edition, Philadelphia, W.B. Saunders
Co., 1996
3 Shapiro BA, Peruzzi WT, Kozelowski-Templin R. Clinical Application of Blood Gases, 5 th Ed.,(Chicago: Mosby,

173

1994)

( )


CCA .


RS232C
ASCII ASTM
Opti Medical OPTI
>150
.

1 3 ,

1 3

RS232C

Opti Medical OPTI CCA


1 =
2 = RxD
3 = TxD
4 = DTR
5 = GND
6 = DSR
7 =
8 = CTS
9 =


100 10% VAC 240 10% VAC, 50/60 Hz


II,

174

4.7
14.2
9.1

12.0
36.2
23.0

90
11

4
5

UL3101-1, CAN/CSA C22.2 NO.1010.1, CE, FCC Class B

1
IEC 60825-1


Opti Medical OPTI CCA NCCLS
C12-A

4
T[F] = 9/5 T[C] + 32
T[C] = 5/9 (T[F] 32)

175

3 Burtis AB, Ashwood ER, Tietz Textbook of Clinical Chemistry 2nd Ed. (Philadelphia, W.B. Saunders 1994), p.
2165


pH pH
PCO2 . .
PO2... . .
tHb/
Na./

K/
Ca.../
Cl/
Glu../
SO2../

5
ctO2, O2ct, tCO2
tHb
, PCO2, PO2
(Ca++)

1 vol% = 1 / = 0.4464 /
1 / = 10 / = 0.6206 /
1 . . = 1.3333 = 0.1333
kPa
1 / = 4.008 / = 2mEq/
1 / = 18.02 /
1 / = 0.0555 /

6
cH+
() .
H+ = 10(9-pH)

[/] 6

st. pH
C pH pH ,
37 PCO2 = 40 . .
St. pH = (0.8262 0.01296 tHb + 0.006942 BE)
Ig (0.025 PCO2) + pH

[ pH] 6

5 Burtis AB, Ashwood ER, Tietz Textbook of Clinical Chemistry 2nd Ed. (Philadelphia, W.B. Saunders 1994), p. 46.
6 Marsoner HJ, Quantities and Algorithms Related to Blood Gas and Acid Base Analysis, AVL Medizintechnik Graz,
1995.

176

HCO3 .
HCO3- = 0.0307 PCO2 10(pH-6.105)
st. HCO3 ,
, 37 PCO2 = 40 . .
st.HCO2- = 10(st. pH-6.022)

[/] 6

tCO2
2 , 2
tCO2 = HCO3- + (0.0307 PCO2)
BE
,
pH
7.4 PCO2 = 40 . . 37 .
BE = (1 0.014 tHb) [(1.43 tHb + 7.7) (pH 7.4) 24.8 + HCO3-]

[/] 7

BEecf
,
- (tHb = 5 /).
BEecf= 16.2 (pH 7.4) 24.8 + HCO3-

[/] 7

7 NCCLS Definitions of Quantities and Conventions related to Blood pH and Gas Analysis, C12-A 1994

BE(act)
.
BE(act) = (1 0.0143 tHb) [(1.63 tHb + 9.5)

[/] 8

177

( pH 7.4) 24.26 + HCO3-] 0.2 tHb ( 1 SO2/100)


BB
,
;
.
BB = BE + 41.7 + 0.42 tHb

[/] 6

SO2(c)

. ,
: pH, PCO2,
2,3 (2,3 DPG).
, ,
, ,
. Opti Medical OPTI CCA
SO2 . ,
, , SO2.
, :
SO2% = Q/(Q + 1) 100%
:
lgQ = 2.9 lgPO2k + 1.661 10 -0.074PO2k 4.172
lgPO2k = lgPO2 + 0.48 (pH 7.4) lg(26.7/26.7) + 0.0013 BE
P50 = 26.7
:
lgQ = 2.9 lgPO2k + 1.3632 10 -0.0533PO2k 4.113
lgPO2k = lgPO2 + 0.48 (pH 7.4) lg(21.5/26.7) + 0.0013 BE
P50 = 21.5

8 Zander R., Die korrekte Bestimmung des Excess (BE mmol/l) im Blut. Anesthesiol. Intensivmed. Notfallmed.
Schmerzther.

ctO2
,
, , .
O2Hb tHb , ;
SO2, ,
O2b .
O2Hb tHb :
178

ctO2 = 1.39 O2Hb/100 tHb + 0.00314 PO2

[vol%]

: PO2 , ctO2 PO2 = 90 . .


O2Hb tHb , SO2 :
tO2 = 1.39 SO2/100 tHb + 0.00314 PO2

[vol%]

: PO2 , ctO2 PO2 = 90 .


.
P50
, P50,
PO2 , 50%
. P50
,
50%
pH PO2; Opti Medical OPTI CCA P50
SO%, PO2 pH. SO2% , P50
.
:
P50 = 26.7 10(lgPO2PO2k)
:
lg PO2k = (lgQ + 3.172)/2.9
Q = SO2 / (100% - SO2)

[ . .]

9 NCCLS Fractional Oxyhemoglobin, Oxygen Content and Saturation, and Related Quntities in Blood: Terminology,
Measurement and Reporting, p. 10, C25-T, Vol 12 No. 11, July 1992

:
P = 25.0 10 (lgPO2k +P O2)
:
lg PO2k = (lgQ + 4.113)/2.9
Q = SO2 / (100% - SO2)

[ . .]

AaDO2

179

(PAO2 PaO2)
, ;
.
Aa(DO2) = (PAO2 PaO2)

[ . .] 7

pH t
pH t , 37 .
pH t = pH [0.0147 + 0.0065 (pH 7.4)] (t 37)

[ pH]

cH +t
,
37 .
Ht = 10(9-pHt)

[/] 6

PCO2t
PCO2 , 37 .
PCO2t = PCO2 10 0.019(t-37)

[ . .] 7

PO2t
PO2t = PO2 10[(5.49 10-11 PO23.88 + 0.071) / (9.72 10-9 PO23.88 + 2.30)] (t 37)

[ . .] 6

PCO2 , 37 .
AaDO2t

, 37 .
AaDO2t = PAO2t - PaO2t
:

[ . .] 7

PAO2t = (Ptotal P2HOt) FIO2 PACO2 t [FIO2 + (1 FIO2)R]

180

c PH2Ot = 47 * 10[0.0237 0.0001(t 37)] (t 37)


PACO2 = PaCO2 (alveolar PCO2 = arterial PCO2)
PAO2t PO2t,
PAO2t = PO2t
Hct(c)
Hct(c) tHb.
Hct(c) = tHb [g/dl] / (MCHC% / 100)

[%]10

MCHC% ,
.
MCHC% = 33.3% ( : 29.0%
37.0%)
AG
,
.
AG = Na+ + K+ Cl- HCO3-

[/]

nCa++
pH=7.4
:
nCA++(pH=7.4) = Ca++ * 100.22*(pH-7.4)

[/]

:
nCA++(pH=7.4) = Ca++ * 100.24*(pH-7.4)

[/]

181

182

183

______________________ :____________________
:

: 1

: 2

: 3

: 4

tHb

184

D -

( E-Glu)

185

SRC
( E-Ca)

186

SRC
( ABG)

187


( E-Ca)

188


( ABG)

189


: .
, ,
.

190

191

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