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Korean Journal of Anesthesiology 1990;23(4):616-620.
DOI: https://doi.org/10.4097/kjae.1990.23.4.616   
Effect of Extreme Leukocytosis on Arterial Oxygen Tension.
Jae Sun Shim, Shin Ok Koh, Jin Ho Kim, Sin Bum Kang, Hung Kun Oh
Department of Anesthesiology, Yonsei University, College of Medicine, Seoul, Korea.
Abstract
Arterial blood gas analysis has become an integral part of the clinical evaluation of the patient with known or suspected pulmonary disease. However, when the results of the measurements show arterial hypoxemia which is out of proportion to the clinical and X-ray evidence of lung disease, we may consider potential errors in measurement involving the blood gas analyzer or methods of blood sample storage. We experienced spurious hypoxemia in a patient with extreme leukocytosis (220.0 X 10(3)/mm3) secondary to leukemia. The degree of PaO2 decay was blunted by placing the blood on ice.
Key Words: Leupoeytosis; Arterial oxygen tension


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