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缺血区心肌血流时相分布及其灌注压依赖性的建模与仿真研究

  来源:120online      日期:2007-05-09
生物医学工程学杂志1999年第2期第16卷论著作者:王怀阳 郑振声 周少春 刘 琼 黄小红单位:(王怀阳郑振声周少春黄小红)中山医科大学辅助循环实验室,广州 510089;(刘琼)国防科技大学自动控制学博士后流动站,长沙 410073关键词:血流动力学;冠脉循环;缺血;侧支循环;数学模型;体外反搏...

  摘要 为了研究缺血心肌在侧支循环不同形成阶段的血流分布模式,建立了一个左心室壁血流灌注计算机仿真模型。模型中左心室壁正常心肌和缺血心肌中血管网都分为三层,每层血管网用一时变阻容网络来代表。以六条雄性犬的左心室压和主动脉压的实测数据作为输入进行仿真。结果表明,用体外反搏的方法提高冠脉灌注压对缺血心肌的血流灌注有明显改善。

A Study of Time-dependent Blood Flow Distribution in Ischemic

  Myocardium and Its Dependence on Perfusion Pressure

  with Modeling and Emulation

  Wang Huaiyang Zheng Zhensheng Zhou Shaochun Liu Qiong Huang Xiaohong

  Assistant Circulation Laboratory, Sun Yat-sen University of Medical Sciences, Guangzhou 510089

  Post-doctoral Program on Automatic Control, Department Automatic Control, Ntional University

  of Defence Technology, Changsha 410073

  Abstract A mathematical model was proposed for studying the time-dependent blood flow distribution in ischemic myocardium with different developments of collateral circulation. The model includes the blood perfusion of normal myocardium and ischemic myocardium. There are three classical myocardial vascular nets in each part and each net is represented by a branch of time-dependent nonlinear resistance and compliance. Experimentally measured aortic pressure and left ventricular pressure from six male dogs were taken as input data for emulation. The results demonstrate that raising perfusion pressure with external counterpulsation can improve the blood perfusion condition in ischemic myocardium.

  Key words Hemodynamics  Coronary circulation  Ischemia  Collateral circulation  Mathernatical model  External counterpulsation

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