Consigny P M, Verrier E D, Payne B D, Edelist G, Jester J, Baer R W, Vlahakes G J, Hoffman J I
Am J Physiol. 1982 Mar;242(3):H392-404. doi: 10.1152/ajpheart.1982.242.3.H392.
We determined the effects of time, type of anesthesia, and myocardial infarction on loss of radioactive microspheres averaging 9 or 15 micrometers diameter from left ventricular myocardium. The principle used to compute losses was comparison of the number of microspheres injected directly into coronary arteries to the numbers remaining in myocardium, appearing within 2-4 min in the coronary sinus, or trapped in the lungs. Losses of 9-micrometers microspheres within 2 min of injection were significantly greater for halothane (mean 6.3%) than nitrous oxide anesthesia (mean 3.3%), and in the next 2 h increased to 11.7 and 7.9%, respectively. Over 5 wk in conscious dogs losses were as high as 40 and 11% for 9 and 15 micrometers microspheres, respectively. Losses were not greater for infarcted than normal muscle, and negligible radioactivity appeared in paracardiac lymph nodes. Microspheres leaving the heart were almost all below 10.3 micrometers diameter, so that microspheres with diameters 10-14 (mean 12) micrometers might be the best size to use for myocardial studies.
我们确定了时间、麻醉类型和心肌梗死对平均直径为9或15微米的放射性微球从左心室心肌丢失的影响。计算丢失量所采用的原理是,将直接注入冠状动脉的微球数量与心肌中剩余的、在2 - 4分钟内出现在冠状窦中或滞留在肺中的微球数量进行比较。注射后2分钟内,氟烷麻醉组(平均6.3%)9微米微球的丢失量显著高于氧化亚氮麻醉组(平均3.3%),在接下来的2小时内分别增至11.7%和7.9%。在清醒犬中,经过5周时间,9微米和15微米微球的丢失率分别高达40%和11%。梗死心肌的微球丢失量并不高于正常心肌,且心旁淋巴结中的放射性可忽略不计。离开心脏的微球几乎都小于10.3微米,因此直径为10 - 14(平均12)微米的微球可能是用于心肌研究的最佳尺寸。