植入式中心静脉透析港的设计与验证
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上海理工大学

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Design and verification of implantable central venous dialysis port
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University of Shanghai for Science and Technology

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    摘要:

    目的 设计并验证一种使中心静脉导管不再外置于体表的植入式透析港,并研究中心静脉导管的结构设计对其性能的影响。方法 通过流量与压强实验验证透析港的可行性。通过有限元方法分析4款代表性的导管结构,记录导管的再循环率、流速压力比和留置粒子占比,分析性能差异。搭建实验平台验证仿真结论,通过盐度测定方法量化动静脉腔液体流向。结果 透析港能够在45kPa压强下达到300mL/min的流量要求。实测中心静脉导管的再循环率在10.7%~23.5%之间,肝素残留值在2.3%~2.8%之间,束口、正位、侧孔结构的导管表现更优。结论 植入式透析港存在与中心静脉导管相配合以建立新的血管通路方式的可能性。中心静脉导管的结构宜采用束口、正位、侧孔设计,其以低流速压力比换取了较优异的再循环率和肝素锁定性能。本研究结果可为中心静脉导管的结构设计和临床选用提供理论和实验依据。

    Abstract:

    Objective To design and verify an implantable dialysis port that makes the central venous catheter no longer placed on the body surface, and to study the effect of the structural design of the central venous catheter on its performance. Methods The feasibility of the dialysis port was verified by flow and pressure experiments. Four representative catheter structures were analyzed by finite element method. The recirculation rate, flow rate pressure ratio and proportion of indwelling particles were recorded, and the performance differences were analyzed. An experimental platform was built to verify the simulation conclusion, and the fluid flow direction of the arteriovenous cavity was quantified by the salinity measurement method. Results The dialysis port can reach the flow requirement of 300 mL / min under the pressure of 45 kPa. The recirculation rate of the measured central venous catheter was between 10.7 % and 23.5 %, and the residual value of heparin was between 2.3 % and 2.8 %. The performance of the catheter with bundle mouth, positive position and side hole structure was better. Conclusions Implantable dialysis port has the possibility to cooperate with central venous catheter to establish a new way of vascular access. The structure of the central venous catheter should adopt the design of the bundle mouth, the positive position and the side hole, which has better recirculation rate and heparin locking performance with low flow rate pressure ratio. The results of this study can provide theoretical and experimental basis for the structural design and clinical selection of central venous catheter.

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  • 收稿日期:2024-12-05
  • 最后修改日期:2025-01-24
  • 录用日期:2025-02-20
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