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猫心输出量测定三种方法的比较

Comparison of three methods for cardiac output determination in cats.

作者信息

Dyson D H, Allen D G, McDonell W N

出版信息

Am J Vet Res. 1985 Dec;46(12):2546-52.

PMID:4083591
Abstract

Cardiac output (CO) was measured in sodium pentobarbital-anesthetized cats over a wide range of blood flow rates. In 10 cats, CO was measured simultaneously, using Fick determination and thermodilution techniques. Echocardiography was used to estimate contractility of the heart by measuring percentage change in minor diameter and velocity of circumferential fiber shortening. These indices were compared with CO by the other techniques. Echocardiographic equations used for CO determination in man were evaluated for reliability in the cat. Thermodilution and Fick determination correlated best with low CO (r = 0.89) and less with intermediate (r = 0.69) and high (r = 0.75) CO. Percentage change in minor diameter and velocity of circumferential fiber shortening correlated with thermodilution measurements of the cardiac index (r = 0.71 and r = 0.84, respectively). The value of echocardiography for CO estimation was questionable, using existing equations. Fick determination of CO was more inconsistent and was more prone to technical error than was thermodilution.

摘要

在广泛的血流速率范围内,对戊巴比妥钠麻醉的猫测量心输出量(CO)。在10只猫中,同时使用Fick法和热稀释技术测量CO。通过测量短径的百分比变化和圆周纤维缩短速度,用超声心动图评估心脏的收缩性。将这些指标与通过其他技术测得的CO进行比较。评估了用于人类CO测定的超声心动图方程在猫中的可靠性。热稀释法和Fick法与低CO相关性最佳(r = 0.89),与中等CO(r = 0.69)和高CO(r = 0.75)的相关性较低。短径的百分比变化和圆周纤维缩短速度与心脏指数的热稀释测量值相关(分别为r = 0.71和r = 0.84)。使用现有方程,超声心动图估计CO的价值值得怀疑。与热稀释法相比,Fick法测定CO更不一致,更容易出现技术误差。

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