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用于血流动力学监测的连续血液密度测量:其准确性和敏感性分析

Continuous blood density measurement for hemodynamic monitoring: an analysis of its accuracy and sensitivity.

作者信息

Ligas J R, Moslehi F, Epstein M A

机构信息

Surgical Research Center, University of Connecticut School of Medicine, Farmington 06030.

出版信息

Ann Biomed Eng. 1993 Jul-Aug;21(4):361-5. doi: 10.1007/BF02368628.

DOI:10.1007/BF02368628
PMID:8214820
Abstract

Continuous measurement of arterial blood density after bolus injection of fluids of different density into the right atrium has been used to measure cardiac output and mean transit time through the central circulation. The transit time distribution for density, however, differs from that for plasma-phase tracers such as indocyanine green. This difference may yield important information about red cell transit times through the microcirculation. We analyzed the potential of the density technique to resolve small changes in transit time distributions. Rayleigh's Method was used to calculate the relationship between density distribution within the U-tube and frequency of oscillation. Fourier integral transformation of a functional representation of indocyanine green dye curves provided an estimate of amplitude versus frequency for likely input density signals. We found that the ability of the densitometer to accurately follow blood density changes depends upon physiologic parameters associated with the experimental animal and upon the physical characteristics of the densitometer itself. Even for small animals, such as a rabbit, the densitometer theoretically has the ability to accurately follow rapid density changes over time.

摘要

在向右心房推注不同密度的液体后,连续测量动脉血密度已被用于测量心输出量和通过中心循环的平均转运时间。然而,密度的转运时间分布与诸如吲哚菁绿等血浆相示踪剂的转运时间分布不同。这种差异可能会产生有关红细胞通过微循环的转运时间的重要信息。我们分析了密度技术分辨转运时间分布微小变化的潜力。瑞利方法用于计算U形管内密度分布与振荡频率之间的关系。吲哚菁绿染料曲线功能表示的傅里叶积分变换提供了可能的输入密度信号的幅度与频率的估计。我们发现,密度计准确跟踪血液密度变化的能力取决于与实验动物相关的生理参数以及密度计本身的物理特性。即使对于小动物,如兔子,理论上密度计也有能力准确跟踪随时间快速的密度变化。

相似文献

1
Continuous blood density measurement for hemodynamic monitoring: an analysis of its accuracy and sensitivity.用于血流动力学监测的连续血液密度测量:其准确性和敏感性分析
Ann Biomed Eng. 1993 Jul-Aug;21(4):361-5. doi: 10.1007/BF02368628.
2
A linear reflection densitometer for indocyanine green.一种用于吲哚菁绿的线性反射密度计。
Cardiovasc Res. 1969 Jul;3(3):373-80. doi: 10.1093/cvr/3.3.373.
3
Density indicator method to measure pulmonary blood flows.密度指示剂法测量肺血流量。
J Appl Physiol (1985). 1986 Jan;60(1):327-34. doi: 10.1152/jappl.1986.60.1.327.
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A computerised dichromatic earpiece densitometer for the measurement of cardiac output.一种用于测量心输出量的计算机化双色耳塞式密度计。
Cardiovasc Res. 1979 Jul;13(7):420-6. doi: 10.1093/cvr/13.7.420.
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A dye densitometer for measuring cardiac output.一种用于测量心输出量的染料密度计。
Med Biol Eng. 1972 Jan;10(1):97-100. doi: 10.1007/BF02474574.
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A comparison of the cardiac output determination by the direct Fick method and the dye-dilution method using indocyanine green dye and a cuvette densitometer.使用吲哚菁绿染料和比色皿密度计,通过直接菲克法和染料稀释法测定心输出量的比较。
J Lab Clin Med. 1962 Feb;59:345-50.
7
A linearly responding monochromatic cuvette densitometer for indocyanine green.用于吲哚青绿的线性响应单色比色皿密度计。
Scand J Clin Lab Invest. 1966;18(6):673-8. doi: 10.3109/00365516609049053.
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Electronic calibration for indocyanine dye-dilution curves.吲哚菁绿染料稀释曲线的电子校准
Am Heart J. 1973 Apr;85(4):506-10. doi: 10.1016/0002-8703(73)90495-x.
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[Optimal dose of indocyanine-green injected from the peripheral vein in cardiac output measurement by pulse dye-densitometry].[通过脉冲染料密度测定法测量心输出量时经外周静脉注射吲哚菁绿的最佳剂量]
Masui. 2000 Feb;49(2):172-6.
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Measurement of cardiac output by earpiece dye-dilution method with automatic calibration of dye concentration.采用耳件染料稀释法并自动校准染料浓度来测量心输出量。
Tohoku J Exp Med. 1977 May;122(1):51-8. doi: 10.1620/tjem.122.51.

本文引用的文献

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Determination of cardiac output and of transcapillary fluid exchange by continuous recording of blood density.通过连续记录血液密度来测定心输出量和毛细血管间液体交换。
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Quantifying the need for cardiac support in human shock by a functional model of cardiopulmonary vascular dynamics: with special reference to myocardial infarction.
通过心肺血管动力学功能模型量化人类休克时心脏支持的需求:特别提及心肌梗死。
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Time shift in ventilation-induced density fluctuation of arterial blood.
Ann Biomed Eng. 1987;15(1):1-17. doi: 10.1007/BF02364164.
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Density indicator method to measure pulmonary blood flows.密度指示剂法测量肺血流量。
J Appl Physiol (1985). 1986 Jan;60(1):327-34. doi: 10.1152/jappl.1986.60.1.327.
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Assessing the deformation of pulmonary capillaries produced by ventilation.评估通气引起的肺毛细血管变形。
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Indicator dilution lung water and vascular permeability in humans. Effects of pulmonary vascular pressure.人体中指示剂稀释法测定肺水及血管通透性。肺血管压力的影响。
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