cynosis

central cyanosis can be detected reliably when the SaO2 has fallen to 85%; in others, particularly in dark-skinned persons, it may not be detected until it has declined to 75%

In general, cyanosis becomes apparent when the concentration of reduced hemoglobin in capillary blood exceeds 40 g/L (4 g/dL). 當毛細血管血中還原血紅蛋白的濃度超過 40 g/L (4 g/dL) 時,紫紺就會變得明顯。

Central Cyanosis

Decreased arterial oxygen saturation  Decreased atmospheric pressure—high altitude  Impaired pulmonary function   Alveolar hypoventilation   Inhomogeneity in pulmonary ventilation and perfusion (perfusion of hypoventilated alveoli)   Impaired oxygen diffusion  Anatomic shunts   Certain types of congenital heart disease   Pulmonary arteriovenous fistulas   Multiple small intrapulmonary shunts  Hemoglobin with low affinity for oxygen

Hemoglobin abnormalities

 Methemoglobinemia—hereditary, acquired  Sulfhemoglobinemia—acquired  Carboxyhemoglobinemia (not true cyanosis)

Peripheral Cyanosis

Reduced cardiac output

Cold exposure

Redistribution of blood flow from extremities

Arterial obstruction

Venous obstruction