Takatani S
Department of Surgery, Baylor College of Medicine, Houston, Texas 77030.
Artif Organs. 1993 Feb;17(2):79-91. doi: 10.1111/j.1525-1594.1993.tb00417.x.
In order to derive quantitative relations between the mixed venous hemoglobin saturation (SvO2) and hemodynamic and metabolic parameters in awake live animals, biventricular bypass experiments were conducted in goats using a pair of pneumatic artificial hearts. The artificial hearts were used to bypass continuously the fibrillating ventricles, to control precisely the pump output, and to derive open-loop responses of the peripheral circulatory system. The specially developed reflection-type optical sensors were mounted on each artificial heart to measure continuously arterial and mixed venous SO2 and hemoglobin content ([Hb]), which in combination with pump output data oxygen consumption of the animal was derived on-line for a maximum duration of 40 days. The SvO2 sensitively reflected the changes in respiratory status. [Hb], pump output, and oxygen consumption. The SvO2 was linearly related to the oxygen consumption but showed nonlinear relation to the pump output. The exercise study revealed that the SvO2 level may be used to detect the anaerobic threshold. The SvO2 is a useful parameter to evaluate circulatory status of the patients.
为了推导清醒活体动物混合静脉血红蛋白饱和度(SvO2)与血流动力学和代谢参数之间的定量关系,使用一对气动人工心脏在山羊身上进行了双心室旁路实验。人工心脏用于持续绕过颤动的心室,精确控制泵输出,并得出外周循环系统的开环反应。专门开发的反射型光学传感器安装在每个人工心脏上,以连续测量动脉血和混合静脉血的SO2和血红蛋白含量([Hb]),结合泵输出数据可在线得出动物的耗氧量,最长持续40天。SvO2能敏感地反映呼吸状态、[Hb]、泵输出和耗氧量的变化。SvO2与耗氧量呈线性相关,但与泵输出呈非线性关系。运动研究表明,SvO2水平可用于检测无氧阈值。SvO2是评估患者循环状态的有用参数。