When chromium trichloride, CrCl₃, is used as the tagging agent, the
chromium is bound almost exclusively to plasma proteins, rather than the
red cells. Chromium-51 may thus be used for estimating the volume of
plasma circulating in the heart and blood vessels. The same type of
computation is carried on for red cells (after correction for a small
amount of chromium taken up by the red blood cells). This procedure is
easy to carry out because the radioactive chromium chloride is injected
directly into a vein.
An ingenious automatic device has been devised for computing a patient’s
total blood volume using the ⁵¹Cr measurement of the red blood cell
volume as its basis. This determination of total blood volume is of
course necessary in deciding whether blood or plasma transfusions are
needed in cases involving bleeding, burns, or surgical shock. This ⁵¹Cr
procedure was used during the Korean War to determine how much blood had
been lost by wounded patients, and helped to save many, many lives.
For several years, iodine-131 has been used as a tracer in determining
cardiac output, which is the rate of blood flow from the heart. It has
appeared recently that red blood cells tagged with ⁵¹Cr are more
satisfactory for this measurement than iodine-labeled albumin in the
blood serum. It is obvious that the blood-flow rate is an extremely
important physiological quantity, and a doctor must know it to treat
either heart ailments or circulatory disturbances.
In contrast to the iodine-131 procedure, which requires that an artery
be punctured and blood samples be removed regularly for measurement,
chromium labeling merely requires that a radiation counter be mounted on
the outside of the chest over the aorta (main artery leaving the heart).
A sample of labeled red blood cells is introduced into a vein, and the
recording device counts the radioactivity appearing in the aorta as a
function of time. Eventually, of course, the counting rate (the number
of radioactive disintegrations per second) levels off when the indicator
sample has become mixed uniformly in the blood stream. From the shape of
the curve on which the data are recorded during the measurements taken
before that time, the operator calculates the heart output per second.
[Illustration: _In this cardiac output study a probe is positioned over
the heart and the passage of iodine-131 labeled human serum albumin
through this area is recorded._]
Public-domain text, read in full here on John Shaqi.
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