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Howard K. Thompson Jr. Robert H. Peter Henry D. McIntosh 《Bulletin of mathematical biology》1966,28(2):167-179
Previously proposed formulae for the quantitative estimation of bidirectional shunts across ventricular septal defects require
determination of the oxygen contents of mixed venous, pulmonary artery, pulmonary venous, and aortic blood. Because these
formulae do not take into account the mixing of oxygenated with unoxygenated blood within the ventricles, their use must result
in underestimation of shunt flows in each direction. A mathematical model for a ventricular defect is examined, in which it
is assumed that mixing of blood occurs in each of six sites in the venae cavae or right atrium, right ventricle, pulmonary
artery, left atrium, left ventricle, and aorta. A total of fourteen streams of blood can flow from one to another of these
mixing sites. As long as complete mixing occurs in the six specified mixing sites, any degree of mixing or non-mixing of the
various streams is permitted. From the equations characterizing the model, formulae are derived in which the shunt flow in
each direction is expressed in terms of the oxygen contents in the six mixing sites and the fractions of blood which enter
the shunt from either side without prior mixing in a ventricular mixing site. The previously reported formulae, which apply
when no ventricular mixing is allowed to occur, lead to theoretical minimum values for the shunt flows in each direction.
At the opposite extreme where all the shunting blood is required to mix in a ventricle before entering the shunt, formulae
for maximum possible shunt flows are also obtained. The absolute values for the left-to-right and right-to-left shunt flows,
which must lie somewhere between the theoretical maximum and minimum values, cannot be computed from blood gas data alone.
This work was supported in part by grant HE-07563 from the National Heart Institute of the National Institutes of Health and
grants-in-aid from the American and North Carolina Heart Associations and the Life Insurance Medical Research Fund.
Work completed during tenure as U.S.P.H.S. post-doctoral fellow. 相似文献
54.
M. Henry Gault 《CMAJ》1966,94(2):61-67
A simple method is described for the assessment of renal function, without collection of urine. Phenolsulfonphthalein (PSP) is injected intravenously in a dosage of 1 mg./kg. body weight, and blood samples are taken at timed intervals. Only one venepuncture is required. The index is based on the rate of decrease in concentration of PSP in the plasma 15 to 35 minutes after injection, during which time this rate is exponential. The methodology and normal range, and the influence of dose, urine flow rate, age and body surface are defined. The extrarenal component of the PSP index and the distribution of PSP in body fluids are discussed. 相似文献
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