%0轴型术罗森特,M%A衬套,A%T同时比较乙炔或二氧化碳通量作为儿童有效肺血流量的衡量标准%D 1997%J欧洲呼吸轴颈%P 2586-2590%V.10%N 11%X乙炔(AC)和二氧化碳均可用于测量有效的肺血流(Q'eff)。在休息和运动期间,它们在成人中安全且合理准确,但儿童没有同时比较。使用InnovisionQuadrupole质谱仪研究了一百六个健康的儿童(55名男性和51名女性,年龄8-17 YRS)。他们都在休息的五个释放中进行了五次再灌注,然后在自行车运动9分钟后再次进行单一测量。通过线性(L)或曲线(C)外推方法计算混合静脉CO 2水平。在静止时,Q'eff的变异系数为AC 8%,即10%和C 16%(P <0.001)。中值静止值为:AC 3.2(95%置信区间(95%CI)3.1-3.4)L 5.1(95%CI 4.6-5.4)和C 4.7(95%CI 4.3-5.1)L X min(-1)x m(-2), (p<0.001). Compared to Ac, only 14 and 17% of L and C values, respectively, were +/-0.5 L x min(-1) x m(-2), whilst 41 and 29%, respectively were more than +/-2 L x min(-1) x m(-2). During exercise, median values were: Ac 6.7 (95% CI 6.3-7.0); L 8.0 (95% CI 7.3-8.4); and C 7.2 (95% CI 6.5-7.9) L x min(-1) x m(-2). L was significantly greater than C (p<0.001), but C was similar to Ac (p=0.06). More than 50% of L and C values could not be calculated for various reasons, whereas all 106 Ac values could be calculated. Neither carbon dioxide method is sufficiently reliable to be used in children in a clinical setting. Acetylene was safe, reliable, accurate and preferred. %U //www.qdcxjkg.com/content/erj/10/11/2586.full.pdf