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滚压泵在体外循环中对血液红细胞破坏影响的流道形状研究。

The effect on hemolysis of the raceway profile of roller pumps used in cardiopulmonary bypass.

机构信息

Nucleus of Medicine and Experimental Surgery, School of Medical Sciences, Campinas, São Paulo, Brazil.

出版信息

ASAIO J. 2012 Jan-Feb;58(1):40-5. doi: 10.1097/MAT.0b013e31820a132c.

Abstract

This study aims at the influence on hemolysis of the differences between the maximum and minimum amplitudes of pressure in the outlet of three roller pump models adjusted by dynamic calibration method. Tests were performed with silicone tubes (½ × (3)/(16) inches) in fluid analogous to blood and fresh bovine blood from slaughterhouse. Tests with analogous solution to blood were performed varying the dynamic calibration pressure between 78 and 500 mm Hg. Tests with fresh bovine blood were performed with the three pumps simultaneously, and pressure differences and free hemoglobin in the plasma were measured during 360 minutes. Tests with both analogous solution to blood and fresh bovine blood showed differences of mean pressures of pump 2 related to pumps 1 and 3 (p < 0.01). The different models of roller pumps analyzed presented differences in pressure amplitudes (p < 0.01) and hemolysis (p < 0.01) adjusted for the same dynamic calibration pressure. Raceway profile of pump 2 resulted in smaller pressure amplitude, implying lower hemolysis rate compared with pumps 1 and 3.

摘要

本研究旨在探讨通过动态校准方法调整的三种滚压泵模型出口处的最大和最小压力幅度之间的差异对溶血的影响。实验使用类似于血液的硅酮管(½×(3)/(16)英寸)和来自屠宰场的新鲜牛血进行。在类似于血液的溶液中进行测试,在 78 至 500mmHg 之间变化动态校准压力。使用三种泵同时进行新鲜牛血测试,并在 360 分钟内测量压力差和血浆中的游离血红蛋白。在类似于血液的溶液和新鲜牛血的测试中,泵 2 的平均压力与泵 1 和 3 之间存在差异(p<0.01)。分析的不同型号的滚压泵在相同的动态校准压力下,压力幅度(p<0.01)和溶血(p<0.01)存在差异。泵 2 的滚道轮廓导致压力幅度较小,与泵 1 和 3 相比,溶血率较低。

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