Venous function and central venous pressure - A physiologic story

被引:402
作者
Gelman, Simon
机构
[1] Brigham & Womens Hosp, Boston, MA 02115 USA
[2] Brigham & Womens Hosp, Dept Anesthesiol Periperat & Pain Med, Boston, MA 02115 USA
关键词
D O I
10.1097/ALN.0b013e3181672607
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The veins contain approximately 70% of total blood volume and are 30 times more compliant than arteries; therefore, changes in blood volume within the veins are associated with relatively small changes in venous pressure. The terms venous capacity, compliance, and stressed and unstressed volumes are defined. Decreases hi flow into a vein arc associated with decreases in intravenous pressure and volume, and vice versa. Changes in resistance in the small arteries and arterioles may affect venous return in opposite directions; this is explained by a two-compartment model. compliant (mainly splanchnic veins) and noncompliant (nonsplanchnic veins). Effects of intrathoracic and intraabdominal pressures on venous return and central venous pressure as well as the value of central venous pressure as a diagnostic variable are discussed.
引用
收藏
页码:735 / 748
页数:14
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