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心脏直视手术中身体血细胞比容与静脉血细胞比容的比值及大、小血管血容量的估计

The ratio of body haematocrit to venous haematocrit in open heart surgery and estimation of the blood volume in the large and small vessels.

作者信息

Tanos B, Kovács G

出版信息

Acta Chir Acad Sci Hung. 1979;20(2-3):141-8.

PMID:555176
Abstract

Double tracer blood volume technique revealed in open heart surgery patients a wide variability of Fcells-value in about 11 per cent of cases investigated, from the "normal" 0.91 value. The possible calculational error of blood volume measurements by single-isotopic--haematocrit methods in the normal or subnormal LVH-ranges point to the superiority of plasma volume determinations in the calculation of the total blood volume. The calculation of the volume of the blood-component actually not-labelled during single-isotopic--haematocrit procedures can be so highly inaccurate because of the hidden deviation of Fcells-value, that such misleading arithmetics has no real value and therefore should be omitted. Estimation of the large vessel and small vessel volumes and haematocrits in patients showed a rough 70 per cent---30 per cent distribution of the circulating blood volume between large and small vessels and an LVH tosmall vessel haematocrit ratio of 2:1 to 2:1.5. This offers a possibility to divide the circulating blood volume into a haemodynamically active (large vessel area) and a metabolically active (small vessel area) part, which can have important diagnostic and prognostic implications.

摘要

双示踪剂血容量技术显示,在心脏直视手术患者中,约11%接受调查的病例中,F细胞值与“正常”的0.91值相比存在很大差异。在正常或低于正常左心室肥厚范围内,单同位素-血细胞比容法测量血容量可能存在计算误差,这表明在计算总血容量时,血浆容量测定具有优越性。在单同位素-血细胞比容程序中,由于F细胞值的隐藏偏差,实际未标记的血液成分体积的计算可能非常不准确,以至于这种误导性的算法没有实际价值,因此应该省略。对患者大血管和小血管体积及血细胞比容的估计显示,循环血容量在大血管和小血管之间大致呈70% - 30%的分布,左心室肥厚与小血管血细胞比容之比为2:1至2:1.5。这为将循环血容量分为血流动力学活跃(大血管区域)和代谢活跃(小血管区域)部分提供了可能,这可能具有重要的诊断和预后意义。

相似文献

1
The ratio of body haematocrit to venous haematocrit in open heart surgery and estimation of the blood volume in the large and small vessels.心脏直视手术中身体血细胞比容与静脉血细胞比容的比值及大、小血管血容量的估计
Acta Chir Acad Sci Hung. 1979;20(2-3):141-8.
2
Isovolemic hemodilution alters the ratio of whole-body to large-vessel hematocrit (F-cell ratio). A prospective, randomized study comparing the volume effects of hydroxyethyl starch 200,000/0.62 and albumin.等容血液稀释会改变全身血细胞比容与大血管血细胞比容的比值(F细胞比值)。一项比较羟乙基淀粉200,000/0.62和白蛋白容量效应的前瞻性随机研究。
Infusionsther Transfusionsmed. 1995 Apr;22(2):74-80.
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Peripheral blood hematocrit in critically ill surgical patients: an imprecise surrogate of true red blood cell volume.危重症外科患者的外周血细胞比容:真正红细胞体积的不准确替代指标。
Anesth Analg. 2008 Jun;106(6):1808-12. doi: 10.1213/ane.0b013e3181731d7c.
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Hematocrit and blood content in the rabbit eye.兔眼的血细胞比容和血液含量。
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Measurement of red-cell and plasma volumes.红细胞和血浆容量的测量。
Nouv Rev Fr Hematol (1978). 1994 Apr;36(2):155-7.
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Blood volume in inbred strain BALB/c, CBA/J and C57BL/10 mice determined by means of 59Fe-labelled red cells and 59Fe bound to transferrin.通过59Fe标记红细胞和与转铁蛋白结合的59Fe测定近交系BALB/c、CBA/J和C57BL/10小鼠的血容量。
Physiol Bohemoslov. 1975 Sep;24(5):413-9.
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[Correlation between whole-body hematocrit and the hematocrit of the venous vessels in acquired heart defects].
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[Haemodynamic effects of acute intra-operative haemodilution in open heart surgery (author's transl)].[心脏直视手术中急性术中血液稀释的血流动力学效应(作者译)]
Anaesthesist. 1978 Aug;27(8):364-9.
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The body fluid compartments during surgery.手术期间的体液 compartments(此处“compartments”可能有误,推测为“compartments”,意为“腔隙”等,准确译文为:手术期间的体液腔隙 )
Ann R Coll Surg Engl. 1969 Feb;44(2):88-100.
10
Should whole-body red cell mass be measured or calculated?应该测量还是计算全身红细胞容量?
Blood Cells Mol Dis. 2000 Feb;26(1):25-31; discussion 32-6. doi: 10.1006/bcmd.2000.0272.

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