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[用吲哚菁绿测定血浆容量]

[Determination of plasma volume with indocyanine green].

作者信息

Schad H, Haider M, Brechtelsbauer H

机构信息

Deutsches Herzzentrum München, Klinik für Herz- und Gefsschirurgie.

出版信息

Anaesthesist. 1987 Nov;36(11):608-14.

PMID:3425869
Abstract

In 31 anesthetized dogs, the distribution volume (Vd) of indocyanine green (ICG, Cardiogreen) was compared to that of Evans blue (EB), which is considered to represent plasma volume. Vd was computed from the injected amount of indicator and the indicator concentration in plasma at time zero, which was obtained by extrapolation of the monoexponential decay of the indicator concentration. The decay was assessed by eight plasma samples from 10-60 min and from 5-12 min after injection of EB and ICG, respectively. EB was measured in a spectrophotometer at 640 and 720 nm; ICG was measured in a spectrophotometer at 805 nm or in a cuvette densitometer with two light sources (LEDs) of 800 and 900 nm. The decay of EB had a half-life of about 330 min, corresponding to a disappearance rate of about 13%/h; the half life of ICG was about 8.0 min, equivalent to a fractional disappearance of about 9%/min. Vd (EB) was 55 +/- 11 (n = 31) ml.kg-1 (mean +/- SD), Vd (ICG) was 55 +/- 12 (n = 20) and 56 +/- 10 (n = 20) ml.kg-1 when ICG was measured in the densitometer or spectrophotometer, respectively. The ICG clearance was about 5 ml.min-1 per kilogram. The accuracy of the determination of plasma volume by ICG was tested in four experiments in two splenectomized dogs. Changes in plasma volume by volume load, enforced diuresis, hemorrhage, and reinfusion were determined by ICG and compared to the theoretical changes calculated from the hematocrit and removed volumes. The mean difference between measured and calculated values was 1.3 +/- 3.4% (n = 14).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在31只麻醉犬中,比较了吲哚菁绿(ICG,心绿)与伊文思蓝(EB)的分布容积(Vd),后者被认为可代表血浆容积。Vd是根据指示剂的注射量和零时血浆中的指示剂浓度计算得出的,零时血浆中的指示剂浓度是通过对指示剂浓度的单指数衰减进行外推得到的。分别在注射EB和ICG后10 - 60分钟以及5 - 12分钟采集8份血浆样本,评估衰减情况。EB在640和720nm波长处用分光光度计测量;ICG在805nm波长处用分光光度计测量,或在具有800和900nm两个光源(发光二极管)的比色皿密度计中测量。EB的衰减半衰期约为330分钟,相当于消失速率约为13%/小时;ICG的半衰期约为8.0分钟,相当于约9%/分钟的分数消失率。Vd(EB)为55±11(n = 31)ml·kg-1(均值±标准差),当ICG在密度计或分光光度计中测量时,Vd(ICG)分别为55±(此处翻译有误,应为55±12)12(n = 20)和56±10(n = 20)ml·kg-1。ICG清除率约为每千克5ml·分钟-1。在两只脾切除犬的四个实验中测试了ICG测定血浆容积的准确性。通过ICG确定了容量负荷、强制利尿、出血和再输注引起的血浆容积变化,并与根据血细胞比容和去除容积计算出的理论变化进行比较。测量值与计算值之间的平均差异为1.3±3.4%(n = 14)。(摘要截取自250字) (注: 原文中 “Vd (ICG) was 55 +/- 12 (n = 20) and 56 +/- 10 (n = 20) ml.kg-1 when ICG was measured in the densitometer or spectrophotometer, respectively.” 中 “55 +/- 12” 可能有误,推测应为 “55 +/- 12”,译文已按此修正)

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Plasma elimination of indocyanine green in the intact pig after bolus injection and during constant infusion: comparison of spectrophotometry and high-pressure liquid chromatography for concentration analysis.静脉推注和持续输注后完整猪体内吲哚菁绿的血浆清除:分光光度法和高压液相色谱法用于浓度分析的比较
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引用本文的文献

1
An efficient method for measuring plasma volume using indocyanine green dye.一种使用吲哚菁绿染料测量血浆容量的有效方法。
MethodsX. 2019 May 8;6:1072-1083. doi: 10.1016/j.mex.2019.05.003. eCollection 2019.