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血液透析器的微粒释放

Particle release from haemodialysers.

作者信息

Hoenich N A, Thompson J, McCabe J, Appleton D R

机构信息

Department of Medicine, School of Clinical Medical Sciences, Medical School University, Newcastle upon Tyne, U.K.

出版信息

Int J Artif Organs. 1990 Dec;13(12):803-8.

PMID:2289833
Abstract

Release of particles from eight makes of hollow-fibre and one make of flatplate dialyser have been studied, and the relationship between rinsing volume and particles recovered established. In a supplementary study the effect on the number of particles released was assessed when striking the dialyser header during priming. Particle size distribution indicated that the majority of the particles recovered were less than 5 microns in diameter. A separate analysis of the particles in the 5-30 micron size range showed two different patterns of particle release. In the dialysers containing ethylene vinyl acetate (EVAL) or Cellulate the number of particles recovered were within the 95% range of the particles in the rinsing fluid and did not alter with increasing rinsing volume. In the dialysers containing Cuprophan and Hemophan the initial particle numbers were higher but fell rapidly up to a 450 ml rinse volume; increasing the rinse volume to 1050 ml did not alter particle recovery. Analysis of variance failed to differentiate between individual dialysers. Striking the header during priming resulted in a transient statistically nonsignificant increase in the number of particles recovered.

摘要

对八种中空纤维透析器和一种平板透析器的颗粒释放情况进行了研究,并确定了冲洗量与回收颗粒之间的关系。在一项补充研究中,评估了在预充过程中撞击透析器头部时对颗粒释放数量的影响。颗粒大小分布表明,回收的大多数颗粒直径小于5微米。对5-30微米尺寸范围内的颗粒进行的单独分析显示出两种不同的颗粒释放模式。在含有乙烯-醋酸乙烯酯(EVAL)或纤维素的透析器中,回收的颗粒数量在冲洗液中颗粒数量的95%范围内,并且不会随着冲洗量的增加而改变。在含有铜仿膜和血仿膜的透析器中,初始颗粒数量较高,但在冲洗量达到450毫升之前迅速下降;将冲洗量增加到1050毫升并不会改变颗粒回收率。方差分析未能区分各个透析器。预充过程中撞击头部导致回收颗粒数量出现短暂的、统计学上无显著意义的增加。

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