血管内导管测量血流速率的实验研究

Seng Sing Tan, C. M. Lam, W. E. Lim
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引用次数: 2

摘要

测量血流速率是评估治疗期间冠心病患者心血管状态的必要条件。它提供反馈和监测心血管手术后血管系统的任何改善。本文介绍了一种利用导管测量血流速率的新方法的最新进展,该方法涉及热交换器的概念。在本研究中,将一根血管内导管插入模拟血流中,末端附着的传热元件将血液中的少量热量提取到传热元件中的冷却流体中。我们可以把血液流速与冷却液出口温度的变化联系起来。在这种方法中,我们可以在不需要向患者体内引入生理盐水或其他物质的情况下测定心输出量。与Swan-Ganz导管不同,它不会改变血液温度。因此,它是可重复的,没有任何可能的不利影响,由于改变血液成分或加热血管系统。在本实验研究中,我们对不同的设计和设置进行了比较,证实了这种方法有很大的潜力成为一种测量血流量和心输出量的有效方法。
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Experimental study on blood flow rate measurement using intravascular catheter
Measurement of blood flow rate is essential in assessing the cardiovascular status of patients with coronary artery diseases during treatments. It provides feedback and monitors any improvements in the vascular system after the cardiovascular surgery. This paper presents the latest development of a new approach to measure blood flow rate using a catheter involving the concept of heat exchanger. In the study, an intravascular catheter is inserted into a simulated blood stream and a heat transfer element attached at the distal end extracts a small amount of heat from blood to the cooling fluid in the heat transfer element. We can correlate the blood flow rate to the change of the outlet temperature of the cooling fluid. In this approach, we can determine the cardiac output without the need for introduction of saline solution or other substance into patient body. Unlike Swan-Ganz catheter, it does not alter the blood temperature. Consequently, it is repeatable without any possible adverse effects due to altering blood composition or heating in the vascular system. In this experimental study, we have done the comparison between different designs and settings, and confirmed that this approach has a great potential to be an effective way of measuring blood flow rate as, well as cardiac output.
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