Non-contact determination of vital sign alterations in hypovolaemic states induced by massive haemorrhage: an experimental attempt to monitor the condition of injured persons behind barriers or under disaster rubble

被引:24
作者
Matsui, T [1 ]
Ishizuka, T
Takase, B
Ishihara, M
Kikuchi, M
机构
[1] Natl Def Med Coll, Inst Res, Div Biomed Engn, Tokorozawa, Saitama, Japan
[2] Natl Def Med Coll, Dept Med Engn, Tokorozawa, Saitama, Japan
[3] Natl Def Med Coll, Inst Res, Tokorozawa, Saitama, Japan
关键词
non-contact; vital sign; barrier; hypovolaemic state; discriminant analysis;
D O I
10.1007/BF02345214
中图分类号
TP39 [计算机的应用];
学科分类号
081203 [计算机应用技术]; 0835 [软件工程];
摘要
To assess a non-contact method to determine the physical alteration of human subjects confined behind a barrier or under disaster rubble, an experimental, non-contact monitoring system was tested on rabbits in a hypovolaemic state. New Zealand male rabbits behind a barrier were subjected to hypovolaemic shock induced by the withdrawal of arterial blood (2 ml per 100 g body weight). The hypovolaemic state was determined by linear discriminant analysis using noncontact-derived variables: heart rate X, and respiratory rate X-2. Sixteen rabbits were equally divided between the hypovolaemic and control groups. To obtain the heart and respiratory rates simultaneously, the fast Fourier transform (FFT) was performed on the 1215 MHz microwave radar analogue output. The linear discriminant function calculated by non-contact-derived variables was negative in the eight hypovolaemic rabbits and positive in the eight controls, so that the linear discriminant function could distinguish the hypovolaemic group from the control group. The Mahalanobis D-square (an index for classification accuracy) was 5908, the classification error rate corresponding to this value was small and negligible. The hypovolaemic rabbits developed metabolic acidosis (HCO3- 18.6 +/- 11.1 mmol l(-1) and pH 7.15 +/- 0.18 in arterial blood). The systolic blood pressure of the hypovolaemic group and the control was 56 +/- 4 and 83 +/- 6 mmHg, respectively (p < 0.01). The proposed method appears promising for applications to monitor the condition of human subjects behind barriers or under disaster rubble.
引用
收藏
页码:807 / 811
页数:5
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