基于微循环模型的脑出血分析
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国家重点基础研究计划(973计划)项目(2014CB541600)


Analysis of Cerebral Hemorrhage Based on Microcirculation
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    摘要:

    目的 研究毛细血管微循环障碍对脑出血的影响及其机制。方法 通过引入多孔介质代替毛细血管的负载效应。建立由豆纹动脉(lenticulostriate artery, LSA)经毛细血管到静脉的微循环模型。参考人体各种生理情况,对模型设置适当的力学边界条件,进行数值模拟,观察并记录各种情况下血压和血管壁应力变化。结果 正常情况下,LSA整体血压相对较低,起始端与末端的血压压差比较明显,血管壁各部分的应力处于同一水平。发生微循环障碍的情况下,LSA整体血压上升,起始端与末端血压压差明显减小。各部分血管壁应力均有上升,且末端应力上升最为显著。结论 微循环障碍对LSA血流动力学的影响尤为显著,是导致LSA破裂出血的重要因素。研究结果对认识在微循环障碍情况下大脑血管的破裂机制以及预防脑出血的发生都有重要的理论参考和实际意义。

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    Objective To study the effect and mechanism of capillary microcirculation disturbance on intracerebral hemorrhage. Methods The loading effect of capillaries was replaced by the introduction of porous media. A microcirculation model from the capillaries to the veins was established. The appropriate mechanical boundary conditions were set up for the model by referring to various physiological conditions of human body, and the changes in blood pressure and stress of vascular wall under various conditions were simulated. Results Under normal circumstances, the whole blood pressure of the LSA was relatively low, and the pressure difference between the beginning and the end of the LSA was more obvious, and the stress of all parts of the vascular wall was at the same level. In the case of microcirculation disorder, the whole blood pressure of the LSA increased and the pressure difference between the beginning and the end of the LSA significantly decreased. The stress for each part of the vessel increased and the stress at the end of the LSA increased most significantly. Conclusions The influence of microcirculation disturbance on hemodynamics of the LSA was particularly significant. It was an important factor leading to hemorrhage of the LSA rupture. The research findings are of important theoretical and practical significance for understanding the mechanism of cerebral vascular rupture and preventing the occurrence of cerebral hemorrhage in the case of microcirculation disturbance.

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张华,钱福涛,黄锦江.基于微循环模型的脑出血分析[J].医用生物力学,2018,33(6):509-514

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  • 收稿日期:2017-12-17
  • 最后修改日期:2018-03-08
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  • 在线发布日期: 2018-12-26
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