Zander R
Institut für Physiologie und Pathophysiologie der Universität Mainz.
Infusionstherapie. 1990 Apr;17 Suppl 2:20-3.
Normovolemic hemodilution under normoxic conditions (arterial oxygen partial pressure normal) at rest is limited by the critical arterial oxygen content of about 10 ml/dl corresponding to a hemoglobin concentration of 7.5 g/dl. This critical oxygen content is derived from the arteriovenous oxygen difference of the myocardium, assumed that the coronary blood flow is increased by 33% and the available oxygen is utilized nearly totally. Furthermore, stored blood (blood bag) seems to be of minor therapeutic effect because of the left shifted oxygen content curve combined with a reduced effective Hb concentration.
在静息状态下,常氧条件(动脉血氧分压正常)下的正常血容量血液稀释受约10ml/dl的临界动脉血氧含量限制,这对应于7.5g/dl的血红蛋白浓度。该临界氧含量源自心肌的动静脉氧差,假定冠状动脉血流量增加33%且可用氧几乎被完全利用。此外,由于氧含量曲线左移以及有效血红蛋白浓度降低,库存血(血袋)似乎治疗效果欠佳。