血液添加剂能减少人工心脏的溶血吗?

L. Garrison, J. Frangos, D. Geselowitz, J. Tarbell
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引用次数: 0

摘要

模拟循环回路在确定流过人工心脏和相关瓣膜的流体力学特性方面是有用的。为了确定宾夕法尼亚州立大学人造心脏和相关瓣膜对血液的影响,设计并组装了一个340毫升的模拟循环回路,该循环回路完全由生物聚合物、不锈钢和硅组成。然后完成了实验,以测试已知的溶血减少剂对人工心脏组装引起的红细胞损伤的影响。Pluronic F-68和右旋糖酐-40在正常循环压力和血流条件下均不显著降低溶血,高浓度时溶血增加。已知的减阻剂Polyox WSR-301和Praestol 2273TR(又名Separan AP-273)在非常低的浓度下会导致溶血的大量增加。这些添加剂均不能作为抗凝血药物应用于人工心脏患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Can blood additives reduce hemolysis in an artificial heart?
Mock circulatory loops are useful in determining fluid mechanical properties of flow through artificial hearts and associated valves. In order to determine the effects that the Penn State artificial heart and associated valves have on blood, a 340 ml mock circulatory loop composed entirely of Biomer, stainless steel, and silicon was designed and assembled. Experiments were then completed to test the effects of known hemolysis-reducing agents on red blood cell damage caused by the artificial heart assembly. Neither Pluronic F-68 nor Dextran-40 produced any significant decrease in hemolysis under normal circulatory pressure and flow conditions, and caused an increase in hemolysis at high concentrations. Known drag-reducing agents, Polyox WSR-301 and Praestol 2273TR (a.k.a. Separan AP-273), caused large increases in hemolysis at very low concentrations. It can be concluded that none of these additives can be used as hemolysis-reducing drugs in artificial heart patients.<>
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