Zajic F, Brun Z, Novotny M
Cor Vasa. 1975;17(3):204-11.
Thermolution serves for measuring either the cardiac output or the size of cardiac ventricles. In the former instance, an accurate determination of the area under the dilution curve, and in the latter, a true tracing of the thermal changes with time are of special importance. Because the size of the area is independent of the time constant, and a curve devoid of marked stroke waves is better suited for automatic integration, thermistors with time constants of 0.8 to 1.0 sec are chosen for this purpose. A reliable determination of the time constant is described. In measurements of the size of cardiac ventricles, a true course of thermal changes with time can be recorded with a thermistor possessing a very short time constant: 0.01 to 0.02 seconds. It is very difficult to make such thermistorized probes or catheters. It is easier to make thermistors with a time constant of 0.1 o 0.2 sec, well insulated, which may serve both requirements. By compensation, the time constant is reducible to 0.01 to 0.2 sec, making possible a true-shape recording of thermal changes for the measurement of the ventricular size, or the constant can be prolonged to 0.8 to 1.0 sec for instrumental integration. If both the shape and the time course of the thermal changes have to be truly recorded, then a non-insulated thermistor with a very short time constant has to be used.
热稀释法可用于测量心输出量或心室大小。在前一种情况下,准确测定稀释曲线下的面积;在后一种情况下,真实记录热变化随时间的变化尤为重要。由于面积大小与时间常数无关,且没有明显脉搏波的曲线更适合自动积分,因此为此目的选择时间常数为0.8至1.0秒的热敏电阻。文中描述了一种可靠的时间常数测定方法。在测量心室大小时,可使用时间常数非常短(0.01至0.02秒)的热敏电阻记录热变化随时间的真实过程。制作这种带热敏电阻的探头或导管非常困难。制作时间常数为0.1至0.2秒且绝缘良好的热敏电阻则更容易,这种热敏电阻可满足两种需求。通过补偿,时间常数可降至0.01至0.2秒,从而能够真实记录热变化以测量心室大小,或者可将时间常数延长至0.8至1.0秒以便仪器进行积分。如果必须同时真实记录热变化的形状和时间过程,则必须使用时间常数非常短的非绝缘热敏电阻。