Makhlin I A, Khomutov V P, Volodin V I
Voen Med Zh. 1992 Sep(9):30-1.
The article makes a theoretical substantiation of regional dehydration in the treatment of the posttraumatic swellings in bone fractures of the extremities. The state of regional hemodynamics in 226 patients with the affections of bones and vessels of the extremities was studied using clinical, functional and angiographical methods. The authors make a conclusion concerning the efficiency of the proposed method of treatment for posttraumatic swellings of the extremities, which is based on the rapid enhancing of the mole-factor in the blood plasma in order to recover optimal conditions for the exchange process and microcirculation. This method of regional dehydration is proposed by the authors as an alternative to the fasciotomy which is based on mechanical influence upon extravasal squeezing of vessels.
本文对肢体骨折创伤后肿胀治疗中的局部脱水进行了理论论证。采用临床、功能和血管造影方法，研究了226例肢体骨骼和血管疾病患者的局部血流动力学状态。作者得出了关于所提出的肢体创伤后肿胀治疗方法有效性的结论，该方法基于快速提高血浆中的摩尔因子，以恢复交换过程和微循环的最佳条件。作者提出这种局部脱水方法作为筋膜切开术的替代方法，筋膜切开术是基于对血管外挤压的机械影响。
