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一系列分支血管中流线模式和分离流的实验评估及其对动脉粥样硬化和血栓形成的影响

Experimental evaluation of streamline patterns and separated flows in a series of branching vessels with implications for atherosclerosis and thrombosis.

作者信息

el-Masry O A, Feuerstein I A, Round G F

出版信息

Circ Res. 1978 Oct;43(4):608-18. doi: 10.1161/01.res.43.4.608.

Abstract

Flow conditions in four models representing the aortic bifurcation, iliac bifuraction, and a renal artery branch were investigated at volumetric flow rates corresponding to Reynolds numbers from 1000 to 4000 over the complete range of flow division between daughter vessels. Qualitative flow streamline patterns and quantitative definition of those flow conditions leading to disturbed flow (flow separation ) were determined primarily at steady flow with a limited set of pulsatie experiments. Under conditions of no flow separation, common characteristic streamline patterns not parallel to the center lines of parent or daughter tubes were found for all models. These effects were accentuated with increasing Reynolds number. Flow separation was inducible through alteration of flow division between daughter vessels or by an increase in flow rate. Each of the four models had distinct combinations of flow division ratio and flow rate which gave: (1) no flow separation, (2) flow separation at the outside of the right daughter tube, and (3) flow separation at the outside of the left daughter tube. Models representing the renal artery also had regions of simultaneous left- and righthand separation on the outside of their daughter tubes. The separated flows observed here displayed streamlines forming an open vortex with flows entering and leaving. These regions, which occur only at distinct combinations of flow rate and flow division, may be key centers where platelet aggregates may form, release constituents, and cause vessel injury.

摘要

研究了代表主动脉分叉、髂动脉分叉和肾动脉分支的四种模型中的血流情况,研究范围为子血管间血流分配的整个区间内对应雷诺数1000至4000的体积流率。主要在稳定流条件下并辅以有限的脉动实验,确定了导致紊乱血流(血流分离)的血流流线模式的定性特征以及这些血流情况的定量定义。在无血流分离的条件下,发现所有模型中均存在不平行于母管或子管中心线的常见特征流线模式。随着雷诺数增加,这些效应会更加明显。通过改变子血管间的血流分配或增加流速可诱导血流分离。四种模型中的每一种都有不同的血流分配比和流速组合,这些组合会导致:(1)无血流分离;(2)右子管外侧出现血流分离;(3)左子管外侧出现血流分离。代表肾动脉的模型在其子管外侧还存在左右两侧同时出现血流分离的区域。此处观察到的分离血流显示流线形成一个开放涡旋,有血流进入和流出。这些仅在特定流速和血流分配组合下出现的区域,可能是血小板聚集体形成、释放成分并导致血管损伤的关键部位。

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