Oka S
Ann N Y Acad Sci. 1983;416:115-27. doi: 10.1111/j.1749-6632.1983.tb35182.x.
The following four subjects are discussed theoretically from a physical standpoint: (1) the effect of the wall of a capillary viscometer on the apparent viscosity of blood; (2) the effect of electric charge on capillary flow; (3) the electric aspect of platelet adhesion and aggregation; and (4) multiphase polymeric materials as antithrombogenic materials. Copley and Scott Blair found a remarkable decrease in the apparent viscosities of blood, plasma, and serum in a fibrin-coated glass tube as compared with those in a glass tube without fibrin-coating. It is shown that the phenomenon cannot be explained by the existence of an electric double layer unless the zeta potential is positive. It is suggested that a reduction of the apparent viscosity of blood may be explained by a slight increase in the thickness of a plasma layer. It is shown that the existence of a slight gap between red cells and the capillary wall due to an electrostatic repulsion will remarkably lower the capillary flow resistance. An electric aspect of endothelial injury is discussed in relation to the adhesion of platelets to the injured endothelium. Platelet aggregation is discussed in accordance with the theory of Verwey and Overbeek , and a possible mechanism of thrombus formation due to a turbulent motion of blood is suggested. The significance of a multiphase polymeric material for an antithrombogenic surface is emphasized. It is suggested that sufficiently large conformational change of macromolecules will be favorable to antithrombogenicity of a polymeric material.
(1)毛细管粘度计管壁对血液表观粘度的影响;(2)电荷对毛细管流动的影响;(3)血小板粘附和聚集的电学方面;(4)多相聚合物材料作为抗血栓形成材料。科普利和斯科特·布莱尔发现,与未涂纤维蛋白的玻璃管相比,涂有纤维蛋白的玻璃管中血液、血浆和血清的表观粘度显著降低。结果表明,除非ζ电位为正,否则该现象无法用电双层的存在来解释。有人认为,血液表观粘度的降低可能是由于血浆层厚度略有增加所致。结果表明,由于静电排斥,红细胞与毛细管壁之间存在微小间隙会显著降低毛细管流动阻力。讨论了内皮损伤的电学方面与血小板粘附于受损内皮的关系。根据韦尔韦和奥弗贝克的理论讨论了血小板聚集,并提出了由于血液湍流运动导致血栓形成的可能机制。强调了多相聚合物材料对于抗血栓形成表面的重要性。有人认为,大分子足够大的构象变化将有利于聚合物材料的抗血栓形成性。