picco导管监测教材教学课件.pptVIP

经肺 vs. 肺动脉热稀释 Left heart Right Heart Pulmonary Circulation Lungs Body Circulation PULSIOCATH arterial thermo-dilution catheter central venous bolus injection RA RV PA LA LV Aorta Transpulmonary TD (PiCCO) Pulmonary Artery TD (PAC) 这两种方法所得CO都是准确的，热稀释方法关注的只是 时间以及温度改变！ Tb = Blood temperature Ti = Injectate temperature Vi = Injectate volume ∫ ? Tb . dt = Area under the thermodilution curve K = Correction constant, made up of specific weight and specific heat of blood and injectate 心输出量是利用 Stewart-Hamilton 公式对热稀释曲线进行分析所得 热稀释方法所得心输出量的计算 Tb x dt (Tb - Ti) x Vi x K Tb Injection t ∫ D = COTD a 热