Deeb G M, Borovetz H S, Griffith B P, Hardesty R L
Ann Surg. 1980 Jan;191(1):114-6. doi: 10.1097/00000658-198001000-00020.
The dilution technique for determining cardiac output using indocyanine green dye is limited in patients weighing less than 20 kg because of the obligatory volume loss. Reproducible achieved using the green dye dilution method by the establishment of a low flow peripheral arteriovenous shunt. The shunt materials were treated with thromboresistant agents--TDMAC (7%) and albumin (1 g/dl)--to facilitate the use of this technique without heparin. For A-V shunt flow rates of 8-30 cc/min reproducible values of cardiac output were obtained for up to 38 hours which were in good agreement with determinations made using the conventional technique of dye dilution.
由于必然的容量损失,使用吲哚菁绿染料测定心输出量的稀释技术在体重小于20公斤的患者中受到限制。通过建立低流量外周动静脉分流术,使用绿色染料稀释法可实现可重复性。分流材料用抗血栓剂——TDMAC(7%)和白蛋白(1克/分升)处理,以便在不使用肝素的情况下使用该技术。对于8 - 30毫升/分钟的动静脉分流流速,在长达38小时内可获得可重复的心输出量值,这些值与使用传统染料稀释技术测定的值高度一致。