Karpman V L
Z Kardiol. 1975 Sep;64(9):801-8.
In the first section Adolf Fick's outstanding scientific performances are pointed out in their historical sequence, particularly the derivation of the laws of diffusion (1855) and the basic equation for determining the heart-minute-volume (Fm) by O2-absorption per time (V02) and arteriovenous O2-difference (AVD), known as Fick's Principle. The latter was derived theoretically in 1870 by Fick, but it found it practical employment by other investigators, in dog not before 1886 and in man not earlier than 1930. In the following two sections the universality of Fick's Principle is shown by explaining its internal relation 1. to Fick's first law of diffusion and 2. to the general law of solution. This is done by mathematical transformation of the relations (formulas)of the physical resp. the physiological standards (parameters). By analyzing the diffusion of a substance into a streaming fluid according to the first diffusion law, perfectly isomorphic equations to Fick's Principle (No. 7 and No. 9) are obtained by what Fick's formula as a determinant of the heart-minute-volume is just proved to be derivable from Fick's first diffusion law. Furthermore by transforming the trivial formula for the determination of substance concentration in a fluid provement is given, that Fick's Principle may be considered a variant of the solution theory. By this the internal relation of the so-called dilution respectively indicating methods depending on the Stewart-Hamilton-Principle to the original Fick's Principle is made visible. In the last section an attempt is made to produce a relation to 1. the so-called physical methods determining the minute volume which primarily are known as a measurement for stroke volume and frequency, and, besides that, 2. to Vierordt's equation, by which the heart-minute-volume is determinable from circulating blood volume and circulation time. This trial is made by equating the value of the minute volume given by Fick's Principle (VO2/AVD) with the product from stroke volume and beating frequency, and on the other hand by equating it with the quotient from circulating blood volume Qc and complete circulation time Tc (Qc/Tc). Finally, physiological arguments are derived from these relations, allowing an evaluation of the relative proportions in circulation adaption during muscular work of the magnitudes of changes in stroke volume, beating frequencies, or the O2-pulse.
在第一部分中,按照历史顺序阐述了阿道夫·菲克的杰出科学成就,尤其提到了扩散定律(1855年)的推导,以及通过单位时间内氧气吸收量(V02)和动静脉氧分压差(AVD)来确定每分心输出量(Fm)的基本方程,即菲克原理。后者在1870年由菲克从理论上推导得出,但直到1886年才在狗身上得到实际应用,在人类身上则不早于1930年。在接下来的两部分中,通过解释菲克原理与1. 菲克第一扩散定律以及2. 一般溶解定律的内在关系,展示了菲克原理的普遍性。这是通过对物理和生理标准(参数)的关系(公式)进行数学变换来实现的。通过依据第一扩散定律分析物质在流动流体中的扩散,得到了与菲克原理完全同构的方程(编号7和编号9),由此证明了作为每分心输出量决定因素的菲克公式可从菲克第一扩散定律推导得出。此外,通过变换用于确定流体中物质浓度的简单公式,证明了菲克原理可被视为溶解理论的一个变体。由此,所谓的基于斯图尔特 - 汉密尔顿原理的稀释法或指示法与原始菲克原理的内在关系得以显现。在最后一部分中,试图建立与1. 主要作为每搏输出量和心率测量方法的所谓物理方法,以及2. 维厄多方程之间的关系,通过维厄多方程可从循环血量和循环时间确定每分心输出量。通过将菲克原理给出的每分心输出量值(VO2/AVD)与每搏输出量和心率的乘积相等,另一方面将其与循环血量Qc和完整循环时间Tc的商(Qc/Tc)相等来进行尝试。最后,从这些关系中得出生理学论据,从而能够评估在肌肉工作期间循环适应过程中每搏输出量、心率或氧脉搏变化幅度的相对比例。