旋转血泵连续流动与脉动流动血液溶血的研究

Chitsanupong Rungsirikunnan, Kamonwan Mondee, G. Gesprasert, P. Naiyanetr
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引用次数: 1

摘要

旋转式血泵广泛用于医疗。心室辅助装置(VAD)是一种基于旋转血泵技术的装置。恢复桥法(BTR)是一种治疗方法。VAD通常会产生连续的血流。最新报道称,搏动血流在血管特性维持中较好。但VAD不应产生高剪切应力,以免引起血栓形成。本研究的目的是比较旋转血泵在恒定转速和脉动转速下发生的溶血。本研究使用MOCK Circulation Loop模拟人体循环系统。将对连续流和脉动流进行比较。旋转血泵将以1500 rpm恒定转速运行,1250-1750rpm, 1000-2000 rpm脉动速度每分钟60次。该系统运行了6小时。每小时从循环中取血1.5毫升。比较各速度条件下的改良溶血指数(MIH)和无血浆血红蛋白。结果表明,各转速条件下血浆游离血红蛋白水平均随实验时间延长而升高。随着脉动速度幅值的增加,MIH无显著差异。本实验为初步研究。在未来的工作中,计算流体动力学软件将用于模拟旋转血泵内部的现象,并用于实验比较。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigation of Blood Hemolysis Study in Rotary Blood Pump between Continuous Flow and Pulsatile Flow
Rotary blood pumps were used widely for medical treatment. Ventricular assist device (VAD) is one of the devices which based on rotary blood pump technology. Bridge to recovery (BTR) process is one of the treatment methods. VAD normally generate continuous blood flow. Latest report said that the pulsatile flow is better in blood vessel properties maintaining. However, VAD should not generated high shear stress that will cause the thrombosis. The objective of this study is to compare the hemolysis occur in rotary blood pump during constant speed and pulsatile speed. This study uses MOCK Circulation Loop to simulate the body circulatory system. The continuous flow and pulsatile flow will be compared. The rotary blood pump will be run at 1500 rpm constant speed and 1250–1750rpm, 1000–2000 rpm pulsatile speed at 60 beat per minute. The system was operated for 6 hours. The blood was obtained 1.5 milliliter from the loop every hour. The modified index of hemolysis (MIH) and plasma-free hemoglobin of each speed conditions were compared. The result shown that plasma-free hemoglobin levels in all speed condition increased with the duration of experiment. The MIH shown non significantly difference when the amplitude of pulsatile speed was increase. This experiment was preliminary study. In future work, the computational fluid dynamic software will use to simulated the phenomena inside the rotary blood pump and used for experiment compared.
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