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用于离体器官血液灌注的可重复使用的管状膜氧合器。

Reusable tubular membrane oxygenator for isolated organ hemoperfusion.

作者信息

Waugh W H, Bales T E, Nihei H

出版信息

J Appl Physiol. 1976 Mar;40(3):476-82. doi: 10.1152/jappl.1976.40.3.476.

Abstract

A reusable tubular membrane oxygenator is described for hypotraumatic hemoperfusion of isolated organs in physiological studies. The constructed oxygenator was of approximately 0.24-m2 effective surface area and contained 450 silicone rubber capillaries of 0.51-mm nominal ID, 34.9 cm long, fixed by conical-shaped, plastic blood headers at manifolds made from Dow-Corning MDX-4-4210 silicone elastomer. During ex vivo hemoperfusions in dogs at inlet hemoglobin saturations near 67%, oxygen transfer rates of the oxygenator increased serially, from 16.6 +/- 1.7 ml/min per m2 (mean +/- SD) at blood flows of 100 ml/min to 34.1 +/- 3.8 ml/min per m2 at flows of 500 ml/min. The oxygenator was thromboresistant and of much loss priming blood volume and wall compliance than the nonresuable Travenol membrane oxygenator of 0.26-m2 effective surface area. The tubular oxygenator was easily cleaned and reassembled, with reproducible oxygen transfer rates. It should prove useful for hemoperfusion studies in organs of moderate size, such as the isolated canine kidney, stomach, and pancreas.

摘要

本文描述了一种可重复使用的管状膜式氧合器,用于生理学研究中离体器官的微创血液灌注。所构建的氧合器有效表面积约为0.24平方米,包含450根标称内径0.51毫米、长34.9厘米的硅橡胶毛细管,通过锥形塑料血液集管固定在由道康宁MDX-4-4210硅橡胶制成的歧管上。在犬类的体外血液灌注过程中,当入口血红蛋白饱和度接近67%时,氧合器的氧传递速率呈系列增加,从血流为100毫升/分钟时的16.6±1.7毫升/分钟·平方米(平均值±标准差)增加到血流为500毫升/分钟时的34.1±3.8毫升/分钟·平方米。该氧合器具有抗血栓性,与有效表面积为0.26平方米的一次性Travenol膜式氧合器相比,其预充血量损失和壁顺应性要小得多。这种管状氧合器易于清洁和重新组装,氧传递速率具有可重复性。它应被证明对中等大小器官的血液灌注研究有用,如离体犬肾、胃和胰腺。

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