小动物左心室容量测量与红细胞压积变化。

Werner Heimisch, Hubert Schad, Ralf Günzinger
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引用次数: 4

摘要

即使在小动物中,也可以使用导尿管技术从压力-容量信号定量和连续地评估心脏性能。然而,血液的导电性取决于红细胞压积(Hct)。红细胞压积和导尿管体积测量之间的相互依赖关系已被评估。12只体重400 ~ 475 g的雄性Wistar大鼠,麻醉后人工通气,等体积血液稀释50% ~ 7%,Hct逐渐降低。在降低Hct水平的条件下抽取肝素化的血液样本,用于离心、血气分析仪自动测量Hct,以及在校准的试管中进行导电管体积测量(CCV)。约2ml胶体溶液的替代使Hct最初从47 +/- 2%降低到36 +/- 3%;同时,在一定血容量下,CCV输出增加了36 +/- 14%。两者之间存在很强的线性反比关系(绝对值r > 0.96;P < 0.0001),体积采集设备显示的相对体积单位(RVU)与任何校准的血液比色皿的红细胞压积之间存在差异。回归线的斜率随校准量的增加成比例增加(28.3微升:-0.25;63.6微升:-0.57;113.1微升:-0.92)。这些数据证明了Hct和CCV之间的直接相互依存关系。因此,对RVU记录进行仔细的Hct校正是必要的,特别是在小动物中,即使少量的替代溶液也会导致Hct显着降低,从而导致明显的血容量误读。
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Left ventricular volume measurement by the conductance catheter and variations in the hematocrit in small animals.

Cardiac performance is quantitatively and continuously assessed from pressure-volume signals by using the conductance catheter technique even in small animals. Conductivity of blood, however, is dependent on hematocrit (Hct). Interdependence between hematocrit and volume measurement by the conductance catheter has been evaluated. In 12 male Wistar rats weighing 400-475 g, anesthetized and artificially ventilated, Hct was gradually lowered by isovolumic hemodilution ranging from 50% to 7%. Heparinized blood samples were drawn at decreasing Hct levels for centrifugation, for automated Hct measurement by a blood gas analyzer, and for conductance catheter volume measurements (CCV) in calibrated cuvettes. Substitution of about 2 ml colloid solution lowered the Hct initially from 47 +/- 2% to 36 +/- 3%; at the same time, CCV output rose by 36 +/- 14% for definite blood volume. There is a strong inverse linear relationship (absolute value of r > 0.96; P < 0.0001) between relative volume units (RVU) displayed by the volume acquisition device and the hematocrit for any calibrated blood cuvette. Slopes of the regression lines increase proportionally to the calibration volumes (28.3 microl: -0.25; 63.6 microl: -0.57; 113.1 microl: -0.92). These data document the direct interdependence between Hct and CCV. Consequently, careful Hct correction of the RVU recordings is necessary especially in small animals where even small amounts of substituted solutions result in a marked decrease in Hct and, thus, in pronounced blood volume misreadings.

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