Kunikata Satoru, Fukuda Makoto, Yamamoto Ken-ichiro, Yagi Yutaka, Matsuda Masato, Sakai Kiyotaka
Consolidated Research Institute for Advanced Science and Medical Care, Okubo, Tokyo, Japan.
ASAIO J. 2009 May-Jun;55(3):231-5. doi: 10.1097/MAT.0b013e318198d870.
Dialysis fluid flow and mass transfer rate of newly developed dialyzers were evaluated using mass transfer correlation equations of dialysis fluid-side film coefficient. Aqueous creatinine clearance and overall mass transfer coefficient for APS-15S (Asahi Kasei Kuraray) as a conventional dialyzer, and APS-15SA (Asahi Kasei Kuraray), PES-150Salpha (Nipro), FPX140 (Fresenius), and CS-1.6U (Toray) as newly developed dialyzers were obtained at a blood-side flow rate (QB) of 200 ml/min, dialysis fluid-side flow rates (QD) of 200-800 ml/min and a net filtration rate (QF) of 0 ml/min. Mass transfer correlation equations between Sherwood number (Sh) containing dialysis fluid-side mass transfer film coefficient and Reynolds number (Re) were formed for each dialyzer. The exponents of Re were 0.62 for APS-15S whereas approximately 0.5 for the newly developed dialyzers. The dialysis fluid-side mass transfer film coefficients of the newly developed dialyzers were higher than those of the conventional dialyzer. Based on the mass transfer correlation equations, introduction of short taper, full baffle of dialyzer jacket and further wave-shaped hollow fiber improves the dialysis fluid flow of the newly developed dialyzers.
使用透析液侧膜系数的传质关联方程评估了新开发透析器的透析液流量和传质速率。在血液侧流速(QB)为200毫升/分钟、透析液侧流速(QD)为200 - 800毫升/分钟且净滤过率(QF)为0毫升/分钟的条件下,获得了作为传统透析器的APS - 15S(旭化成可乐丽)以及作为新开发透析器的APS - 15SA(旭化成可乐丽)、PES - 150Salpha(日机装)、FPX140(费森尤斯)和CS - 1.6U(东丽)的肌酐清除率和总传质系数。为每个透析器建立了包含透析液侧传质膜系数的舍伍德数(Sh)与雷诺数(Re)之间的传质关联方程。APS - 15S的Re指数为0.62,而新开发的透析器的Re指数约为0.5。新开发透析器的透析液侧传质膜系数高于传统透析器。基于传质关联方程,引入短锥度、透析器外套的全挡板以及进一步的波浪形中空纤维可改善新开发透析器的透析液流动。