De Lazzari C, Darowski M, Ferrari G, Pisanelli D M, Tosti G
C.N.R., Institute of Clinical Physiology, Cardiovascular Engineering Department, Viale dell' Universitá, 11 00185, Rome Section, Italy.
Comput Biol Med. 2006 Nov;36(11):1235-51. doi: 10.1016/j.compbiomed.2005.08.001. Epub 2005 Oct 3.
The aim of this work is to evaluate in different ventricular conditions the influence of joint mechanical ventilation (MV) and Hemopump assistance. To perform this study, we used a computer simulator of human cardiovascular system where the influence of MV was introduced changing thoracic pressure to positive values. The simulation confirmed that haemodynamic variables are highly sensitive to thoracic pressure changes. On the other hand, Hemopump assistance raises, among the others, mean aortic pressure, total cardiac output (left ventricular output flow plus Hemopump flow) and coronary flow. The simulation showed that the joint action of Hemopump and positive thoracic pressure diminishes these effects.
这项工作的目的是在不同心室条件下评估联合机械通气(MV)和Hemopump辅助的影响。为进行这项研究,我们使用了人体心血管系统的计算机模拟器,通过将胸内压改变为正值来引入MV的影响。模拟结果证实,血流动力学变量对胸内压变化高度敏感。另一方面,Hemopump辅助除其他方面外,还会提高平均主动脉压、总心输出量(左心室输出流量加Hemopump流量)和冠状动脉流量。模拟显示,Hemopump与胸内正压的联合作用会减弱这些影响。