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[无创法评估心输出量。通过呼出气体再呼吸法估算二氧化碳分压。与热稀释法的比较]

[Assessment of cardiac output by a non-invasive method. Estimation of partial pressure of CO2 by rebreathing of expired gas. Comparison with thermodilution].

作者信息

Chabrillat Y, Jammes Y, Zwirn P, Gérard R

出版信息

Arch Mal Coeur Vaiss. 1980 Jan;73(1):107-13.

PMID:6770776
Abstract

The cardiac output was measured in 65 patients by the FICK principle after estimation of the pp CO2 in mixed venous blood by rebreathing. This technique has been used mainly during exercise, and recently in intensive care units. We used it in resting patients hospitalised for diagnosis and treatment of a range of cardiac diseases, and in patients referred to our Physiological Laboratory. The reproductibility of our results using the rebreathing method was good: the variation of the individual results averaged 8.9%. The values of the cardiac output by rebreathing were compared to those obtained by thermodilution in 30 patients. A high coefficient of correlation was found: r = 0,897 (2p less than 0,001). This non-invasive technique is simple, rapid, and easily repeatible. Its use for serial estimations of the cardiac output should be retained.

摘要

采用重呼吸法估算混合静脉血中的二氧化碳分压后,运用菲克原理对65例患者的心输出量进行了测量。该技术主要用于运动期间,最近也应用于重症监护病房。我们将其用于因一系列心脏疾病住院接受诊断和治疗的静息患者,以及转诊至我们生理实验室的患者。我们使用重呼吸法得到的结果重复性良好:个体结果的变异平均为8.9%。对30例患者采用重呼吸法测得的心输出量值与热稀释法测得的值进行了比较。发现两者具有高度相关性:r = 0.897(P<0.001)。这种非侵入性技术简单、快速且易于重复。应保留其用于连续心输出量估算的用途。

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