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    • 3. 发明授权
    • Method and system for non-invasive ultrasound Doppler cardiac output
measurement
    • 非侵入性超声多普勒心输出量测方法与系统
    • US4509526A
    • 1985-04-09
    • US464965
    • 1983-02-08
    • Stephen R. BarnesGary L. TarboxLee L. HuntsmanBarry D. McLaren
    • Stephen R. BarnesGary L. TarboxLee L. HuntsmanBarry D. McLaren
    • A61B8/06G01S15/89A61B10/00
    • A61B8/463A61B8/065A61B8/465G01S15/8979A61B8/4405
    • A method and system for the noninvasive measurement of cardiac output of a mammalian patient on a real time, beat-by-beat basis as a combined function of the cross-sectional area of the ascending aorta and the systolic velocity of blood flow therethrough is comprised of the steps of and apparatus for pulsedly insonifying the ascending aorta of the patient with repetitive, intermittent ultrasonic energy propagating through the patient's cardiac window; receiving pulses of ultrasonic energy reflected from the anatomical structure within the first insonification zone, including energy reflected from the aortic walls and characteristic of the dimensional separation thereof; developing an aortic diameter signal indicative of dimensional separation; computing the cross-sectional area of the ascending aorta therefrom; then continuously insonifying the ascending aorta with uninterrupted ultrasonic energy; receiving a Doppler-shifted ultrasonic energy signal reflected from pulsatile blood flow through the ascending aorta, and characteristic of systolic velocity of blood flow; subjecting the systolic velocity signal to a frequency spectrum analysis at a predetermined signal sampling rate to yield a velocity component profile signal; integrating the velocity component profile signal over time; computing systolic volume as a combined function of cross-sectional area and the systolic velocity integral for each of n cardiac cycles; and, computing cardiac output as the time-averaged sum of systolic volumes for the n periods.
    • 包括作为上升主动脉的横截面面积和通过其的血流的收缩速度的组合函数的实时,逐节拍的非侵入式测量哺乳动物患者心输出量的方法和系统。 用于通过患者心脏窗口传播的重复间歇超声波脉冲地使患者的升主动脉脉动化的步骤和装置; 从所述第一增强区域内的所述解剖结构反射的超声能量的脉冲,包括从所述主动脉壁反射的能量和其尺寸分离的特征; 开发指示尺寸分离的主动脉直径信号; 计算升主动脉的横截面面积; 然后用不间断的超声能量不断地上升主动脉; 接收从上升主动脉脉动血流反射的多普勒超声能量信号,以及血流收缩速度的特征; 以收缩速度信号以预定的信号采样率进行频谱分析以产生速度分量分布信号; 随时间整合速度分量分布信号; 计算收缩容积作为横截面积的组合函数和n个心动周期中的每一个的收缩速度积分; 并计算心输出量作为n个周期的收缩期的时间平均和。