Heimisch Werner, Schad Hubert, Günzinger Ralf
Department of Cardiac and Vascular Surgery, Deutsches Herzzentrum München, Clinic at the Technical University, Lazarettstr. 36, 80636 Munich, Germany.
Cardiovasc Eng. 2007 Jun;7(2):43-6. doi: 10.1007/s10558-007-9027-7.
Cardiac performance is quantitatively and continuously assessed from pressure-volume signals by using the conductance catheter technique even in small animals. Conductivity of blood, however, is dependent on hematocrit (Hct). Interdependence between hematocrit and volume measurement by the conductance catheter has been evaluated. In 12 male Wistar rats weighing 400-475 g, anesthetized and artificially ventilated, Hct was gradually lowered by isovolumic hemodilution ranging from 50% to 7%. Heparinized blood samples were drawn at decreasing Hct levels for centrifugation, for automated Hct measurement by a blood gas analyzer, and for conductance catheter volume measurements (CCV) in calibrated cuvettes. Substitution of about 2 ml colloid solution lowered the Hct initially from 47 +/- 2% to 36 +/- 3%; at the same time, CCV output rose by 36 +/- 14% for definite blood volume. There is a strong inverse linear relationship (absolute value of r > 0.96; P < 0.0001) between relative volume units (RVU) displayed by the volume acquisition device and the hematocrit for any calibrated blood cuvette. Slopes of the regression lines increase proportionally to the calibration volumes (28.3 microl: -0.25; 63.6 microl: -0.57; 113.1 microl: -0.92). These data document the direct interdependence between Hct and CCV. Consequently, careful Hct correction of the RVU recordings is necessary especially in small animals where even small amounts of substituted solutions result in a marked decrease in Hct and, thus, in pronounced blood volume misreadings.
即使在小动物中,也可通过电导导管技术根据压力-容积信号对心脏功能进行定量和连续评估。然而,血液的电导率取决于血细胞比容(Hct)。已经评估了血细胞比容与通过电导导管测量容积之间的相互关系。在12只体重400 - 475克、麻醉并人工通气的雄性Wistar大鼠中,通过等容血液稀释将血细胞比容从50%逐渐降至7%。在血细胞比容水平降低时采集肝素化血样用于离心、通过血气分析仪自动测量血细胞比容以及在校准比色皿中进行电导导管容积测量(CCV)。输注约2毫升胶体溶液最初可使血细胞比容从47±2%降至36±3%;与此同时,对于确定的血容量,CCV输出增加36±14%。对于任何校准的血比色皿,容积采集装置显示的相对容积单位(RVU)与血细胞比容之间存在很强的负线性关系(r的绝对值>0.96;P<0.0001)。回归线的斜率与校准容积成比例增加(28.3微升:-0.25;63.6微升:-0.57;113.1微升:-0.92)。这些数据证明了血细胞比容与CCV之间的直接相互关系。因此,特别是在小动物中,对RVU记录进行仔细的血细胞比容校正很有必要,因为即使少量的替代溶液也会导致血细胞比容显著下降,从而导致明显的血容量误读。