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[动脉内注射治疗下肢慢性缺血的结果评估]

[An evaluation of the results of intra-arterial injections in treating chronic ischemia of the lower extremities].

作者信息

Prokhorov G G

出版信息

Vestn Khir Im I I Grek. 1991 Jul-Aug;147(7-8):41-4.

PMID:1668930
Abstract

Intra-arterial infusions used in treatment of ischemia of lower extremities in patients with obliterating atherosclerosis can cause pronounced vasoconstrictory reactions in distal parts of the extremity with reduced pulse blood filling and oxygenation of tissues. As necessary measures of prophylactics of negative shifts in regional blood circulation the author suggests to be valuable anesthesia and atraumatic character of interventions, use of warm solutions, exclusion of irritating drugs and osmotically active substances. The final efficiency of intra-arterial infusions is dependent on the observation of the above conditions.

摘要

用于治疗闭塞性动脉粥样硬化患者下肢缺血的动脉内输注可在肢体远端引起明显的血管收缩反应，导致脉搏血流充盈减少和组织氧合降低。作为预防局部血液循环出现负面变化的必要措施，作者认为麻醉的有效性和干预措施的无创性、使用温热溶液、避免使用刺激性药物和渗透活性物质很重要。动脉内输注的最终效果取决于上述条件的遵守情况。

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