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电刺激引起的血管收缩:控制不可压缩性出血的新方法。

Vasoconstriction by electrical stimulation: new approach to control of non-compressible hemorrhage.

作者信息

Mandel Yossi, Manivanh Richard, Dalal Roopa, Huie Phil, Wang Jenny, Brinton Mark, Palanker Daniel

机构信息

Hansen Experimental Physics Laboratory, Stanford University, Stanford, CA 94305, USA.

出版信息

Sci Rep. 2013;3:2111. doi: 10.1038/srep02111.

Abstract

Non-compressible hemorrhage is the most common preventable cause of death on battlefield and in civilian traumatic injuries. We report the use of microsecond pulses of electric current to induce rapid constriction in femoral and mesenteric arteries and veins in rats. Electrically-induced vasoconstriction could be induced in seconds while blood vessels dilated back to their original size within minutes after stimulation. At higher settings, a blood clotting formed, leading to complete and permanent occlusion of the vessels. The latter regime dramatically decreased the bleeding rate in the injured femoral and mesenteric arteries, with a complete hemorrhage arrest achieved within seconds. The average blood loss from the treated femoral artery during the first minute after injury was about 7 times less than that of a non-treated control. This new treatment modality offers a promising approach to non-damaging control of bleeding during surgery, and to efficient hemorrhage arrest in trauma patients.

摘要

不可压缩性出血是战场上和平民创伤中最常见的可预防死亡原因。我们报告了使用微秒级电流脉冲在大鼠股动脉和肠系膜动静脉中诱导快速收缩。电诱导的血管收缩可在数秒内发生,而血管在刺激后几分钟内又会扩张回原来的大小。在更高的设置下,会形成血凝块,导致血管完全永久性闭塞。后一种情况显著降低了受伤股动脉和肠系膜动脉的出血率,在数秒内实现了完全止血。受伤后第一分钟内,经治疗的股动脉平均失血量比未治疗的对照组少约7倍。这种新的治疗方式为手术中出血的无损控制以及创伤患者的有效止血提供了一种有前景的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6a0/3701318/29b96755184d/srep02111-f1.jpg

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