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使用搏动式叶轮泵进行实验性左心室辅助期间猪的血液学变化

Haematological variations in pigs during experimental left ventricular assistance with a pulsatile impeller pump.

作者信息

Qian K X, Wang S S, Chu S H

机构信息

Department of Surgery, Medical College, University of Taiwan, ROC.

出版信息

Med Eng Phys. 1994 Jul;16(4):348-50. doi: 10.1016/1350-4533(94)90063-9.

Abstract

Left ventricular assistance with a pulsatile impeller pump was performed on 5 pigs. The pump delivered the blood from the left atrium to the aorta. The by-pass flow was adjusted to 40% of the total flow. All of the haematological variations were measured every hour. The results demonstrated that the pulsatile impeller pump caused less erythrocyte but more platelet damage than the nonpulsatile impeller pump in some experiments by dogs. The free haemoglobin was unchanged but lactate dehydrogenase increased remarkably in 6 h. Compared with the same experiments of the pulsatile impeller pump in goats and roller pump in pigs, it seems that the pig erythrocytes have more endurance to shear stress than that of dogs and goats, and pig platelets are more sensitive to mechanical force than those of other animals. The chronic experiment of pulsatile impeller pump is now in the planning stage for further investigations.

摘要

对5头猪进行了使用搏动式叶轮泵的左心室辅助。该泵将血液从左心房输送至主动脉。旁路血流被调整至总血流的40%。每小时测量所有血液学变化。结果表明,在一些犬类实验中,搏动式叶轮泵造成的红细胞损伤比非搏动式叶轮泵少,但血小板损伤更多。游离血红蛋白未变,但乳酸脱氢酶在6小时内显著增加。与山羊搏动式叶轮泵和猪滚压泵的相同实验相比,猪红细胞似乎比犬类和山羊的红细胞对剪切力更具耐受性,且猪血小板比其他动物的血小板对机械力更敏感。搏动式叶轮泵的慢性实验目前正处于规划阶段,以进行进一步研究。

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