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肺辅助装置的生物工程进展

Bioengineering Progress in Lung Assist Devices.

作者信息

Syed Ahad, Kerdi Sarah, Qamar Adnan

机构信息

Nanofabrication Core Lab, King Abdullah University of Science and Technology, Thuwal 23955-6900, Saudi Arabia.

Biological and Environmental Science and Engineering Division, King Abdullah University of Science and Technology (KAUST), Thuwal 23955-6900, Saudi Arabia.

出版信息

Bioengineering (Basel). 2021 Jun 28;8(7):89. doi: 10.3390/bioengineering8070089.

DOI:10.3390/bioengineering8070089
PMID:34203316
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8301204/
Abstract

Artificial lung technology is advancing at a startling rate raising hopes that it would better serve the needs of those requiring respiratory support. Whether to assist the healing of an injured lung, support patients to lung transplantation, or to entirely replace native lung function, safe and effective artificial lungs are sought. After 200 years of bioengineering progress, artificial lungs are closer than ever before to meet this demand which has risen exponentially due to the COVID-19 crisis. In this review, the critical advances in the historical development of artificial lungs are detailed. The current state of affairs regarding extracorporeal membrane oxygenation, intravascular lung assists, pump-less extracorporeal lung assists, total artificial lungs, and microfluidic oxygenators are outlined.

摘要

人工肺技术正以惊人的速度发展,人们希望它能更好地满足那些需要呼吸支持的人的需求。无论是协助受伤肺部的愈合、支持患者进行肺移植,还是完全替代天然肺功能,都在寻求安全有效的人工肺。经过200年的生物工程进步,人工肺比以往任何时候都更接近满足这一需求,由于新冠疫情危机,这一需求呈指数级增长。在这篇综述中,详细介绍了人工肺历史发展中的关键进展。概述了体外膜肺氧合、血管内肺辅助、无泵体外肺辅助、全人工肺和微流控氧合器的现状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a855/8301204/e410353eb869/bioengineering-08-00089-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a855/8301204/c22896830a38/bioengineering-08-00089-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a855/8301204/274d53fa82f3/bioengineering-08-00089-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a855/8301204/e410353eb869/bioengineering-08-00089-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a855/8301204/c22896830a38/bioengineering-08-00089-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a855/8301204/274d53fa82f3/bioengineering-08-00089-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a855/8301204/e410353eb869/bioengineering-08-00089-g003.jpg

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What is the need and why is it time for innovative models for understanding lung repair and regeneration?

本文引用的文献

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Combination of polycarboxybetaine coating and factor XII inhibitor reduces clot formation while preserving normal tissue coagulation during extracorporeal life support.聚羧酸甜菜碱涂层与因子 XII 抑制剂的联合应用可减少体外生命支持过程中的血栓形成,同时保持正常组织的凝血功能。
Biomaterials. 2021 May;272:120778. doi: 10.1016/j.biomaterials.2021.120778. Epub 2021 Mar 24.
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Cyclic peptide FXII inhibitor provides safe anticoagulation in a thrombosis model and in artificial lungs.环肽 FXII 抑制剂在血栓模型和人工肺中提供安全的抗凝作用。
Nat Commun. 2020 Aug 4;11(1):3890. doi: 10.1038/s41467-020-17648-w.
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Advancing Front Oxygen Transfer Model for the Design of Microchannel Artificial Lungs.
理解肺修复和再生的创新模式的需求是什么,为什么现在是时候了?
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Design and Study of a Portable High-frequency Ventilator for Clinical Applications.用于临床应用的便携式高频呼吸机的设计与研究
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The design and evaluation of a novel low-cost portable ventilator.一种新型低成本便携式呼吸机的设计与评估。
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Zwitterionic poly-carboxybetaine coating reduces artificial lung thrombosis in sheep and rabbits.两性离子聚羧酸甜菜碱涂层可减少绵羊和兔子的人工肺血栓形成。
Acta Biomater. 2019 Jul 1;92:71-81. doi: 10.1016/j.actbio.2019.05.019. Epub 2019 May 10.
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72-Hour in vivo evaluation of nitric oxide generating artificial lung gas exchange fibers in sheep.绵羊体内 72 小时评价吸入式人工肺气体交换纤维一氧化氮释放性能
Acta Biomater. 2019 May;90:122-131. doi: 10.1016/j.actbio.2019.04.004. Epub 2019 Apr 3.
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OPTN/SRTR 2017 Annual Data Report: Lung.OPTN/SRTR 2017 年度数据报告:肺。
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