Dunningham H, Borland C, Bottrill F, Gordon D, Vuylsteke A
Cambridge Perfusion Services, Papworth Hospital, Papworth Everard, Cambridge, CAMBS, UK.
Perfusion. 2007 Jul;22(4):231-8. doi: 10.1177/0267659107083240.
A simple model lung has been designed using a membrane oxygenator circuit comprising two membrane oxygenators primed with one to two litres of equine blood, giving reproducible results over several hours. Normoxia and normocapnia were achieved consistently over the duration of the test with a blood flow of 2.5 l/min, oxygenator ventilation gas flow of 5 l/min air with 0.3 l/min O2 and deoxygenator ventilation gas flow of 5 l/min 5% CO2 in N2 with 0.2 l/min CO2. The measured PaO2 was 81.3 (SD 3.35 mmHg), PvO2 38.3 (SD 1.38 mmHg), PvCO2 60.6 (SD 1.13 mmHg) and PaCO2 36.1 (SD 0.69mmHg). MO2 and MCO2 were 116 ml/min and 169 ml/min, respectively. An increasing linear relationship was observed for FiO2 and the corresponding PaO2 and, similarly, with FiCO2 and PvCO2, providing reference ranges for this model.
已设计出一种简易模型肺,其使用了一个膜式氧合器回路,该回路包含两个用一到两升马血预充的膜式氧合器,在数小时内可得出可重复的结果。在测试过程中,通过2.5升/分钟的血流、5升/分钟的空气加0.3升/分钟的氧气的氧合器通气气体流量以及5升/分钟的5%二氧化碳加0.2升/分钟二氧化碳的脱氧器通气气体流量,始终保持正常氧分压和正常二氧化碳分压。测得的动脉血氧分压为81.3(标准差3.35毫米汞柱),静脉血氧分压为38.3(标准差1.38毫米汞柱),静脉血二氧化碳分压为60.6(标准差1.13毫米汞柱),动脉血二氧化碳分压为36.1(标准差0.69毫米汞柱)。氧耗量和二氧化碳排出量分别为116毫升/分钟和169毫升/分钟。观察到氧浓度与相应的动脉血氧分压之间呈递增线性关系,同样,二氧化碳浓度与静脉血二氧化碳分压之间也呈递增线性关系,从而为此模型提供了参考范围。