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分流阀的流体动力学

Hydrodynamics of shunt valves.

作者信息

Portnoy H D, Tripp L, Croissant P D

出版信息

Childs Brain. 1976;2(4):242-56. doi: 10.1159/000119621.

DOI:10.1159/000119621
PMID:991667
Abstract

A study of differential pressure valves (DPV) used in the treatment of hydrocephalus was undertaken to determine their pressure-flow characteristics and compatability with the antisiphon valve (ASV). DPV could be classified into two groups: low resistance valves (LRV) and high resistance valves (HRV). The LRV maintains intraventricular pressure (IVP) near the closing pressure (CP) of the valve by permitting a high flow whenever CP is exceeded. The HRV regulates IVP by attempting to match inflow with some point on the pressure-flow curve of the valve. These characteristics were lost unless valve outlet pressure was maintained at atmospheric pressure. This could be accomplished by using a proximal DPV with an ASV at the DPV outlet, thus converting the DPV into a gauge pressure valve and preventing the 'siphon effect' seen with the use of a DPV alone.

摘要

开展了一项关于用于治疗脑积水的压差阀(DPV)的研究,以确定其压力-流量特性以及与抗虹吸阀(ASV)的兼容性。DPV可分为两组:低阻力阀(LRV)和高阻力阀(HRV)。LRV通过在超过关闭压力(CP)时允许高流量,将脑室内压力(IVP)维持在阀门的关闭压力(CP)附近。HRV通过试图使流入量与阀门压力-流量曲线上的某个点相匹配来调节IVP。除非阀门出口压力保持在大气压,否则这些特性会丧失。这可以通过在DPV出口处使用带有ASV的近端DPV来实现,从而将DPV转换为表压阀,并防止单独使用DPV时出现的“虹吸效应”。

相似文献

1
Hydrodynamics of shunt valves.分流阀的流体动力学
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2
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Hydrodynamic properties of hydrocephalus shunts.脑积水分流器的流体动力学特性。
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引用本文的文献

1
Ventriculo-peritoneal shunting devices for hydrocephalus.用于脑积水的脑室-腹腔分流装置
Cochrane Database Syst Rev. 2020 Jun 16;6(6):CD012726. doi: 10.1002/14651858.CD012726.pub2.
2
Clinical experience with a new pressure-adjustable shunt valve.新型压力可调分流阀的临床经验
Acta Neurochir (Wien). 1995;134(3-4):119-24. doi: 10.1007/BF01417677.
3
CSF shunt physics: factors influencing inshunt CSF flow.
Childs Nerv Syst. 1995 Apr;11(4):203-6. doi: 10.1007/BF00277654.
4
The mechanism of pneumocephalus formation in patients with CSF fistulas.脑脊液瘘患者气颅形成的机制。
J Neurol Neurosurg Psychiatry. 1986 Feb;49(2):203-5. doi: 10.1136/jnnp.49.2.203.
5
The significance of morphological details for developmental outcome in infantile hydrocephalus.形态学细节对婴儿脑积水发育结局的意义。
Childs Nerv Syst. 1985;1(6):329-36. doi: 10.1007/BF00270818.
6
The theoretical requirements of shunt design as determined by biomechanical testing in pediatric hydrocephalus.小儿脑积水经生物力学测试确定的分流设计理论要求。
Childs Nerv Syst. 1988 Dec;4(6):348-53. doi: 10.1007/BF00270609.
7
Clinical experience with a pressure-adjustable valve SOPHY in the management of hydrocephalus.
Childs Nerv Syst. 1990 Aug;6(5):270-4. doi: 10.1007/BF00307663.