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分析静脉血流瞬变以评估血管阻力、顺应性和血流分布。

Analysis of venous flow transients for estimation of vascular resistance, compliance, and blood flow distribution.

作者信息

Ogilvie R I, Zborowska-Sluis D

机构信息

Division of Cardiology, Toronto Western Hospital, Ont., Canada.

出版信息

Can J Physiol Pharmacol. 1987 Sep;65(9):1884-90. doi: 10.1139/y87-292.

DOI:10.1139/y87-292
PMID:3690407
Abstract

We analysed venous flow transients using a long venous circuit and right heart bypass in 17 dogs after a rapid decrease in atrial pressure. A biphase curve was obtained which we decomposed into a two-compartment model, one with a fast time constant for venous return (0.069 min) and 52% of total circulating flow (Q), and one with a slower time constant (0.456 min) and 48% of Q. Subsequently, separate drainage from splanchnic and peripheral beds (with the renal venous return in the peripheral bed drainage) allowed comparison of time constants and venous outflow in these beds. The sum of the venous outflow volumes over time during separate drainage was indistinguishable from the single biphasic venous outflow volume curve over time observed with a long circuit and single reservoir. The fast time constant of the biphasic curve was not different from that determined by separate drainage from the peripheral circulation. The slow time constant of the single biphasic curve of 0.456 min was hybrid of two time constants, 0.216 min in the splanchnic bed and 0.862 min in the peripheral bed. Separate drainage from peripheral and splanchnic vascular beds demonstrated that the peripheral bed constituted 70% of venous outflow in the fast time constant compartment using Caldini's technique, whereas the splanchnic bed constituted 63% of venous outflow in the slow time constant compartment. It is concluded that, although Caldini's technique demonstrates biphasic venous flow transients, neither the fast nor the slow time constant compartments resolved from this analysis represent a particular anatomical region or vascular bed.

摘要

我们在17只犬的心房压力快速下降后,使用长静脉回路和右心旁路分析了静脉血流瞬变情况。获得了一条双相曲线,我们将其分解为一个双室模型,一个室的静脉回流时间常数较快(0.069分钟),占总循环流量(Q)的52%,另一个室的时间常数较慢(0.456分钟),占Q的48%。随后,分别从内脏和外周床进行引流(肾静脉回流包含在外周床引流中),以便比较这些床的时间常数和静脉流出情况。在分别引流期间,随时间的静脉流出量总和与使用长回路和单个储液器观察到的随时间的单双相静脉流出量曲线无法区分。双相曲线的快速时间常数与通过外周循环单独引流确定的时间常数没有差异。单双相曲线的缓慢时间常数0.456分钟是两个时间常数的混合体,在内脏床为0.216分钟,在外周床为0.862分钟。通过外周和内脏血管床的单独引流表明,使用卡尔迪尼技术,在外周床构成快速时间常数隔室中静脉流出的70%,而在内脏床构成缓慢时间常数隔室中静脉流出的63%。得出的结论是,尽管卡尔迪尼技术显示出双相静脉血流瞬变,但从该分析中解析出的快速或缓慢时间常数隔室均不代表特定的解剖区域或血管床。

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