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目的评价国产压力传感器心导管、电磁流量传感器心导管行+GZ负荷下心血管腔内压、血流量测定的可行性,并观察+GZ负荷下血液动力学变化规律。方法9只麻醉犬暴露于+1GZ、+3GZ、+5GZ、+7GZ、+9GZ负荷各90s,监测左室腔内压(PLV)、胸主动脉腔内压(PT)、髂动脉腔内压(PC),颈动脉每搏血流量(CABF)、心阻抗图(ΔZ)、心阻抗微分图(dz/dt)和心电图(ECG)。结果①国产压力传感器心导管和电磁流量传感器可实时记录+GZ负荷下压力、血流量变化;ΔZ、dz/dt图形变化紊乱,难以进行心功能定量分析;②GZ负荷下犬左心室与大动脉腔内压和CABF减低速率随+GZ值增大而增快。CABF终断时心电图示QRS主波向下。结论可以用国产压力传感器心导管行+GZ负荷下血液动力学监测。高+GZ负荷下注意QRS主波方向,尽早采用抗荷措施。
Objective To evaluate the feasibility of measuring intracardiac pressure and blood flow in patients undergoing cardiac catheterization and magnetic flow sensor cardiac catheterization under the condition of + GZ load, and observe the changes of hemodynamics under + GZ stress. Methods Nine anesthetized dogs were exposed to + 1GZ, +3 GZ, +5 GZ, +7 GZ, and +9 GZ for 90s respectively. The left ventricular pressure (PLV), thoracic aortic lumen pressure (PT), iliac artery pressure Arterial stroke volume (CABF), cardiac impedance (ΔZ), cardiac impedance derivative (dz / dt), and electrocardiogram (ECG). Results ① Domestic catheter and electromagnetic flow sensor can record pressure and blood flow under the + GZ load in real time. The changes of ΔZ and dz / dt patterns are difficult to quantify. It is difficult to quantify heart function under the GZ load. And CABF decrease rate increases with the increase of + GZ value. ECG at the end of CABF ECG QRS main wave down. CONCLUSIONS: Home-made pressure sensors can be used for cardiac catheterization and hemodynamic monitoring under GZ stress. Pay attention to QRS main wave direction under high + GZ load and adopt anti-load measures as soon as possible.