Designing an extracorporeal deep-hypothermic heat exchanger and optimizing its operating conditions

F. Mourtada, R. I. Gray
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Abstract

A theoretical study altered the tube and fin dimensions of a commercial hypothermic heat exchanger (HE) used in cardiopulmonary bypass during open-heart surgery to obtain an optimized design (OHE). This OHE was then tested analytically by modeling the patient/HE system with a single-pool body assumption, modified to accommodate for body temperature gradients. Simultaneous solution of the body differential and system HE equations, showed that the OHE could provide the clinically desirable cool-down phase within 20 min, and the warm-up within 30 min for a wide range of patient types and cardiac outputs. precise holding phase temperatures also could be obtained, +or-0.05 degrees C, through optimal control of the HE's water inlet temperature.<>
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体外深层低温换热器的设计与运行条件优化
一项理论研究改变了用于体外循环心脏直视手术的商用低温换热器(HE)的管和翅片尺寸,以获得优化设计(OHE)。然后,通过对患者/HE系统进行建模,采用单池身体假设,对其进行修改以适应体温梯度,对该OHE进行分析测试。同时求解机体微分方程和系统HE方程,结果表明,对于各种类型的患者和心输出量,OHE可以在20 min内提供临床所需的冷却阶段,在30 min内提供热身阶段。通过对HE进水温度的优化控制,可以获得+或0.05℃的精确保温相温度。
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