设为首页 |  加入收藏
首页首页 期刊简介 消息通知 编委会 电子期刊 投稿须知 广告合作 联系我们
一氧化碳吸入装置的设计与实现

Design and implementation of carbon monoxide inhalation device

作者: 赵柏淦  胡兆燕  陈正龙 
单位:上海理工大学机械工程学院(上海200093)
关键词: 一氧化碳;流量控制仪;肺动脉高压;单片机 
分类号:R318.6
出版年·卷·期(页码):2016·35·5(503-509)
摘要:

目的 一氧化碳(carbon monoxide, CO)是一种重要的内源性介质,可用于治疗新生儿持续肺动脉高压、急性肺损伤等严重疾病。但目前有关一氧化碳吸入装置的报道较少,因此本文设计并实现了一种与呼吸机联用的一氧化碳吸入装置以满足临床需求。方法 通过气体稀释公式计算出在治疗条件下CO标气的流量,并由转子流量计控制CO标气送入呼吸回路,采用CO电化学传感器对进入患者前的治疗气中CO浓度进行检测,具有实时监测、显示浓度、超标声光报警等功能,并与呼吸机联用后检验了该装置的示值误差和响应时间。结果 该装置的示值误差为2.2%,响应时间平均为23.5s,能满足临床实验的需求。结论 本文所研发的与呼吸机联用吸入装置的浓度监测范围、输出流量、响应时间及显示精度等技术参数满足预期的设计要求。

Objectives Carbon monoxide (CO) is an important endogenous medium, which can be used in the treatment of persistent pulmonary hypertension of the newborn, acute lung injury and other serious diseases. In view of report of the CO inhalation device is rare, a carbon monoxide inhalation device cooperated with the ventilator is introduced in this paper. Methods This device works out the flow value of CO on the therapeutic condition using the formula of gas dilution. Then its rotor flow meter controls the flow of CO and delivers it to the respiratory circuit. At the same time, the concentrations of CO are detected by the electrochemical CO sensors before the therapeutic gas enters into the patient. It can realize the function of real-time monitoring, dynamic display of concentration, sound and light alarm and so on. The indication error and response time of the device are tested after connected with the ventilator. Results The experiment with the ventilator shows that this device’s indication error is 2.2% and response time is 23.5s, which can meet the requirements of clinical experiment. Conclusions The device’s technical parameters such as concentration monitoring range, output flow, response time and display accuracy meet the expected design requirements.

参考文献:

[1]Marks GS, Brien JF, Nakatsu K, et al. Does carbon-monoxide have a physiological-function[J]. Trends in Pharmacological Sciences, 1991, 12(5):185-188.

[2]Ryter SW, Otterbein LE. Carbon monoxide in biology and medicine[J]. Bioessays, 2004, 26(3):270-280.

[3]Subhamay G, Janos G, Nandor M. Carbon monoxide: endogenous mediator, potential diagnostic and therapeutic target[J]. Annals of Medicine, 2010, 42(1):1-12.

[4]Ryter SW ,Otterbein LE. Carbon monoxide in biology and medicine[J].Bioessays,2004,26(3):270-280.

[5]Mackern-Oberti JP, Llanos C, Carreno LJ, et al. Carbon monoxide exposure improves immune function in lupus-prone mice.[J]. Immunology, 2013, 140(1):123-132.

[6]Parfen ova H , Basuroy S, Bh attachary AS, et al. Glu tamate induces oxidative stress and apoptosis in cerebral vascular endothelial cells:contributions of HO-1 and HO-2 to cytoprotection[J] .Am J Physiol Cell Physiol, 2006, 290(5): C1399-1410.

[7]Lo WC, Lu PJ, Ho WY, et al. Induction of heme oxygenase-1 is involved in carbon monoxide-mediated central cardiovascular regulation[J]. Journal of Pharmacology & Experimental Therapeutics, 2006, 318(1):8-16.

[8]宫丽敏, 杜军保, 赵卫红,等. 内源性一氧化碳调节肺动脉平滑肌细胞增殖的信号转导[J]. 中国药理学通报, 2004,20(1):28-32.

Gong Limin, Du Junbao, Zhao Weihong, et al .Signal transduction of endogenous carbon monoxide-mediated rat pulmonary artery smooth muscle cells proliferation by hypoxia [J]. Chinese Pharmacological Bulletin, 2004(1):28-32.

[9]王灿, 蔡康兴, 陈龙,等. 基于随机双盲安慰剂对照试验的一氧化碳吸入疗法在新生儿肺炎应用的安全性研究[J]. 中国循证儿科杂志, 2015, 10(3):171-175.

Wang Can,Cai Kangxing,Chen Long, et al. Safety and feasibifity of inhaled carbon monoxide treatment for neonates with stabilized pneumonia:a randomized-blinded study[J] Chinese Journal of Evidence Based Pediatrics, 2015, 10(3):171-175.

[10]Bathoorn E, Slebos DJ, Postma DS, et al. Anti-inflammatory effects of inhaled carbon monoxide in patients with COPD: a pilot study[J]. European Respiratory Journal, 2007, 30(6):1131-1137.

[11]Wilson MR, O’Dea KP, Dorr AD, et al. Efficacy and safety of inhaled carbon monoxide during pulmonary inflammation in mice[J]. Plos One, 2010, 5(7): e11565.

[12]Adnot S, Kouyoumdjian C. Hemonodynamic and gas exchange responses to infusion of acetycholine and inhalation of nitric oxide in patients with chronic obstructive lung disease and pulmonary hypertension[J]. Am Rev Respir Dis,1993,148:310.

[13]孙珵,胡兆燕,陈正龙,等.一氧化氮治疗仪及其应用进展[J]. 北京生物医学工程,2015,34(6):649-656.

Sun Chenglu, Hu Zhaoyan, Chen Zhenglong, et al. Research progress in inhaled nitric oxide system[J].Beijing Biomedical Engineering,2015,34(6):649-656.

[14]杨邦朝, 段建华. 一氧化碳传感器的应用与进展[J]. 传感器与微系统, 2001,20(12):1-4.

Yang Bangchao, Duan Jianhua. Application and advance of CO sensors[J].Transducer and Microsystem Technologies,2001,20(12):1-4.

[15]王樉. 一氧化碳检测仪的测量原理与应用[J]. 中国计量, 2010,(1):67.

Wang Shuang. Measurement principle and application of carbon monoxide detector[J]. China Metrology,2010,(1):67.


服务与反馈:
文章下载】【加入收藏
提示:您还未登录,请登录!点此登录
 
友情链接  
地址:北京安定门外安贞医院内北京生物医学工程编辑部
电话:010-64456508  传真:010-64456661
电子邮箱:llbl910219@126.com