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通过热稀释法测量小动物的心输出量。

Measurement of the cardiac output in small animals by thermodilution.

作者信息

Cabrales Pedro, Acero Cesar, Intaglietta Marcos, Tsai Amy G

机构信息

Department of Bioengineering, University of California, San Diego, La Jolla, CA 92093, USA.

出版信息

Microvasc Res. 2003 Sep;66(2):77-82. doi: 10.1016/s0026-2862(03)00044-x.

Abstract

Cardiac output (CO) measurements based on indicator dilution, microspheres, thermodilution and ultrasonic sensors are not suitable for small animals, because of limited blood volume, high heart rates and small caliber vessels that do not allow probe placement within the heart. We developed a modified thermodilution method to measure CO in awake animals weighing less than 100 g. Under anesthesia, the animal is instrumented with a jugular vein catheter placed proximal to the subclavian vein and a temperature probe in the carotid artery with the thermocouple positioned at the aortic arch. Two days after implantation, room temperature saline is injected (150 microl) into the jugular catheter and the temperature change recorded. This system uses the temperature probe as a digital feedback control: (1) to minimize recirculation error; (2) to adjust baseline temperature, thereby increasing sensitivity to small changes in temperature; and (3) to stabilize animal core temperature. The system was calibrated using a laboratory bench model with anatomically scaled components. CO was measured (n=29) in 16 hamsters (65-115 g), and was linearly related to body weight. Cardiac index (CI=CO/weight) was 197.0 +/- 18.8 (ml/min)/kg. Repeated measurements were made. This technique allows correlating systemic flow changes to be correlated to those measured in the microcirculation of window chamber preparations.

摘要

基于指示剂稀释法、微球法、热稀释法和超声传感器的心输出量(CO)测量方法不适用于小动物,因为其血容量有限、心率高且血管口径小,无法将探头置于心脏内。我们开发了一种改良的热稀释法来测量体重小于100克的清醒动物的心输出量。在麻醉状态下,给动物植入一根位于锁骨下静脉近端的颈静脉导管和一根置于颈动脉的温度探头,热电偶位于主动脉弓处。植入两天后,将室温生理盐水(150微升)注入颈静脉导管并记录温度变化。该系统将温度探头用作数字反馈控制:(1)将再循环误差降至最低;(2)调整基线温度,从而提高对温度微小变化的敏感度;(3)稳定动物的核心体温。该系统使用具有解剖学比例组件的实验室台式模型进行校准。对16只仓鼠(65 - 115克)测量了心输出量(n = 29),其与体重呈线性相关。心脏指数(CI = CO/体重)为197.0 +/- 18.8(毫升/分钟)/千克。进行了重复测量。该技术能够将全身血流变化与在窗式 chamber 制剂微循环中测量到的变化相关联。 (注:原文中“window chamber preparations”表述不太准确,可能是“window chamber preparations”,可译为“窗式腔室制剂”,但不确定是否准确,需结合更多专业背景信息)

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