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关于狭窄动脉中多层血液流变学的非牛顿流体模型的综述。

A review on non-Newtonian fluid models for multi-layered blood rheology in constricted arteries.

作者信息

Wajihah S Afiqah, Sankar D S

机构信息

Applied Mathematics and Economics Programme Area, School of Applied Sciences and Mathematics, Universiti Teknologi Brunei, Jalan Tungku Link, Gadong, Bandar Seri Begawan, BE1410 Brunei Darussalam.

出版信息

Arch Appl Mech. 2023;93(5):1771-1796. doi: 10.1007/s00419-023-02368-6. Epub 2023 Jan 31.

DOI:10.1007/s00419-023-02368-6
PMID:36743075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9886544/
Abstract

Haemodynamics is a branch of fluid mechanics which investigates the features of blood when it flows not only via blood vessels of smaller/larger diameter, but also under normal as well as abnormal flow states, such as in the presence of stenosis, aneurysm, and thrombosis. This review aims to discuss the rheological properties of blood, geometry of constrictions, dilations and the emergence of single-layered fluid to four-layered fluid models. To discuss further the influence of the aforesaid parameters on the physiologically important flow quantities, the mathematical formulation and solution methodology of the two-layered and four layered arterial blood flow problems studied by the authors (Afiqah and Sankar in ARPN J Eng Appl Sci 15:1129--1143, 2020, Comput Methods Programs Biomed 199:105907, 2021. 10.1016/j.cmpb.2020.105907) are recalled. It should be pointed out that the increasing resistive impedance to flow in three distinct states encompassing healthy, anaemic, and diabetic demonstrates that the greater the restriction in the artery, very few blood is carried to the pathetic organs, leading to subjects' death. It is also discovered that the pulsatile nature of blood movement produces a dynamic environment that poses a slew of intriguing and unstable fluid mechanical state. It is hoped that the intriguing results gathered from this literature survey and review conducted may help the medical practitioners to forecast blood behaviour mobility in stenotic arteries. Furthermore, the physiological information gathered from the available clinical data from the literature on patients diagnosed with diabetes and anaemia may be beneficial to doctors in deciding the therapeutic procedure for treating some particular cardiovascular disease.

摘要

血液动力学是流体力学的一个分支,它研究血液在流经不同直径的血管时,以及在正常和异常流动状态下(如存在狭窄、动脉瘤和血栓形成时)的特性。本综述旨在讨论血液的流变学特性、狭窄和扩张的几何形状以及从单层流体模型到四层流体模型的演变。为了进一步讨论上述参数对生理上重要的流量的影响,回顾了作者(阿菲卡和桑卡尔,发表于《ARPN工程与应用科学杂志》15:1129 - 1143,2020年;《生物医学计算方法与程序》199:105907,2021年。doi:10.1016/j.cmpb.2020.105907)所研究的两层和四层动脉血流问题的数学公式和求解方法。需要指出的是,在健康、贫血和糖尿病这三种不同状态下,血流的阻力阻抗增加表明,动脉中的限制越大,输送到可怜器官的血液就越少,从而导致患者死亡。还发现血液流动的脉动性质产生了一个动态环境,带来了一系列有趣且不稳定的流体力学状态。希望从本次文献调查和综述中收集到的有趣结果能够帮助医学从业者预测狭窄动脉中的血液行为流动性。此外,从文献中关于糖尿病和贫血患者的现有临床数据中收集到的生理信息,可能有助于医生确定治疗某些特定心血管疾病的治疗程序。

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