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甲基丙烯酸甲酯在髋关节同种异体关节置换手术中会引发心血管并发症吗?(作者翻译)

[Does methylmethacrylate induce cardiovascular complications during alloarthroplastic surgery of the hip joint? (AUTHOR'S TRANSL)].

作者信息

Schlag G, Schliep H J, Dingeldein E, Grieben A, Ringsdorf W

出版信息

Anaesthesist. 1976 Feb;25(2):60-7.

PMID:1083699
Abstract

Cardiovascular experiments in dogs and rabbits under various conditions demonstrated that monomethylacrylate has no direct cardiac depressant activity. The transient decrease in blood pressure and heart rate of patients receiving endoprostheses and experimental animals is elicited by a vagotropic effect of the methacrylates and can be antagonized by prophylactic application of atropine. Severe cardiovascular incidents involving an acute cor pulmonale are induced via the steep rise in pressure within the bone-marrow canal during the forcing in of the endoprosthetic shafts, leading to intravasation of bone marrow and its thromboplastine like compounds, thus resulting in a partial coagulation. A schedule of simple prophylactic procedures proved to be effective in preventing fatal cardiovascular complications.

摘要

在各种条件下对犬和兔进行的心血管实验表明,单甲基丙烯酸酯没有直接的心脏抑制活性。接受内置假体的患者和实验动物出现的血压和心率短暂下降是由甲基丙烯酸酯的迷走神经效应引起的,并且可以通过预防性应用阿托品来对抗。在强行插入内置假体杆的过程中,骨髓腔内压力急剧上升,引发涉及急性肺心病的严重心血管事件,导致骨髓及其类凝血活酶化合物进入血管,从而引起部分凝血。事实证明,一套简单的预防程序在预防致命的心血管并发症方面是有效的。

相似文献

1
[Does methylmethacrylate induce cardiovascular complications during alloarthroplastic surgery of the hip joint? (AUTHOR'S TRANSL)].甲基丙烯酸甲酯在髋关节同种异体关节置换手术中会引发心血管并发症吗?(作者翻译)
Anaesthesist. 1976 Feb;25(2):60-7.
2
[Circulatory complications during alloarthroplastic operations on the hip joint(author's transl)].髋关节同种关节置换手术期间的循环系统并发症(作者译)
Anaesthesist. 1974 Sep;23(9):382-8.
3
[Penetration of methylmethacrylate-monomer in blood circulation following hip joint prosthesis surgery in man].[人工髋关节置换术后甲基丙烯酸甲酯单体在人体血液循环中的渗透情况]
Chirurg. 1974 May;45(5):236-42.
4
Intraoperative complications connected with the use of bone cement.与骨水泥使用相关的术中并发症。
Anaesth Resusc Intensive Ther. 1974 Jan-Mar;2(1):71-6.
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[Cardiovascular changes associated with the use of acrylic bone cement].[与丙烯酸骨水泥使用相关的心血管变化]
Rev Esp Anestesiol Reanim. 1995 May;42(5):191-3.
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Sildenafil prevents cardiovascular changes after bone marrow fat embolization in sheep.
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[Role of methylmethacrylate in various cardiovascular complications observed in orthopedic surgery].[甲基丙烯酸甲酯在骨科手术中观察到的各种心血管并发症中的作用]
Cah Anesthesiol. 1972 May-Jun;20(4):397-8 passim.
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[Histamine release and cardiovascular reactions to implantation of bone cement during total hip replacement].[全髋关节置换术中骨水泥植入时的组胺释放及心血管反应]
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[Comparative circulatory studies during implantation of total endoprostheses using methylmethacrylate and BDF cement].
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The Bone Cement Hypercoagulation Syndrome: Pathophysiology, Mortality, and Prevention.骨水泥高凝综合征:病理生理学、死亡率和预防。
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The proportion of perioperative mortalities attributed to cemented implantation in hip fracture patients treated by hemiarthroplasty.
在接受半髋关节置换术治疗的髋部骨折患者中,归因于骨水泥植入的围手术期死亡率比例。
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Perioperative mortality in hip fracture patients treated with cemented and uncemented hemiprosthesis: a register study of 11,210 patients.骨水泥型和非骨水泥型半髋关节假体治疗髋部骨折患者的围手术期死亡率:一项 11210 例患者的注册研究。
Int Orthop. 2013 Jun;37(6):1135-40. doi: 10.1007/s00264-013-1851-3. Epub 2013 Mar 19.
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Complications after cryosurgery with new miniature cryoprobes in long hollow bones: an animal trial.新型微型冷冻探头用于长管状骨冷冻手术后的并发症:一项动物试验
BMC Surg. 2005 Aug 7;5:17. doi: 10.1186/1471-2482-5-17.
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New clinico-pathophysiological studies on the bone cement implantation syndrome.骨水泥植入综合征的新临床病理生理学研究
Arch Orthop Trauma Surg (1978). 1980;97(4):263-74. doi: 10.1007/BF00380707.
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Intraoperative transesophageal two-dimensional echocardiography in total hip replacement.全髋关节置换术中的术中经食管二维超声心动图
Arch Orthop Trauma Surg (1978). 1986;105(5):274-8. doi: 10.1007/BF00449925.
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[Investigations of pathogenesis of reactions in circulation and respiration during the implantation of bone cements. animal experiments (author's transl)].[骨水泥植入期间循环与呼吸反应的发病机制研究。动物实验(作者译)]
Arch Orthop Trauma Surg (1978). 1978 Apr 18;91(2):85-95. doi: 10.1007/BF00378889.