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体外 CO 去除治疗的数学建模:在十头猪身上进行的验证。

Mathematical modeling of extracorporeal CO removal therapy : A validation carried out on ten pigs.

机构信息

GIGA - In Silico Medicine, University of Liege, Liege, Belgium.

GIGA - Cardiovascular Sciences, University of Liege, Liege, Belgium.

出版信息

Med Biol Eng Comput. 2018 Mar;56(3):421-434. doi: 10.1007/s11517-017-1694-y. Epub 2017 Aug 9.

DOI:10.1007/s11517-017-1694-y
PMID:28795334
Abstract

The extracorporeal CO removal device (ECCORD) is used in clinics to treat patients suffering from respiratory failures like acute respiratory distress syndrome (ARDS) or chronic obstructive pulmonary disease (COPD). The aim of this device is to decarboxylate blood externally with low blood flow. A mathematical model is proposed to describe protective ventilation, ARDS, and an extracorporeal CO removal therapy (ECCORT). The simulations are compared with experimental data carried out on ten pigs. The results show a good agreement between the mathematical simulations and the experimental data, which provides a nice validation of the model. This model is thus able to predict the decrease of PCO during ECCORT for different blood flows across the extracorporeal lung support.

摘要

体外 CO 去除设备 (ECCORD) 用于治疗患有呼吸衰竭的患者,如急性呼吸窘迫综合征 (ARDS) 或慢性阻塞性肺疾病 (COPD)。该设备的目的是在外周低血流量下脱除血液中的 CO。提出了一个数学模型来描述保护性通气、ARDS 和体外 CO 去除治疗 (ECCORT)。模拟结果与在 10 头猪上进行的实验数据进行了比较。结果表明,数学模拟与实验数据之间具有良好的一致性,这为模型提供了很好的验证。因此,该模型能够预测在不同的体外肺支持血流下进行 ECCORT 时 PCO 的降低。

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Crit Care. 2016 Feb 10;20:36. doi: 10.1186/s13054-016-1211-y.
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In silico ordinary differential equation/partial differential equation hemodialysis model estimates methadone removal during dialysis.计算机模拟的常微分方程/偏微分方程血液透析模型可估算透析期间美沙酮的清除率。
J Pain Res. 2015 Jul 22;8:417-29. doi: 10.2147/JPR.S84615. eCollection 2015.
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Extracorporeal carbon dioxide removal in patients with chronic obstructive pulmonary disease: a systematic review.
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Intensive Care Med. 2015 Oct;41(10):1752-62. doi: 10.1007/s00134-015-3921-z. Epub 2015 Jun 25.
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