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[与病变部位及范围相关的动静脉畸形的手术策略]

[Surgical tactics in arteriovenous dysplasias in relation to the site and extent of the lesion].

作者信息

Dan V N, Volynskiĭ G I, Kuntsevich G I, Len'kova N A, Zhuchkov B A

出版信息

Kardiologiia. 1990 Dec;30(12):43-6.

PMID:2097396
Abstract

Current procedures (venous occlusive plethysmography, Doppler ultrasound echocardiography, transcutaneous oxygen tension determination and computed tomography) for examining patients allow one to clarify the nature, extent, site, and features of anatomic relationships between the intact tissues and angiodysplasia-afflicted areas, to substantially facilitate the choice of surgical management of such patients. Application of current procedures for anesthesiological protection of the patients with the use of hemodilution, drug-controlled hypotension, as well as the patient's autoblood during the operation ensures a radical intervention provided that the surgical concept is based on stepped therapy by using the endovascular occlusion techniques and following the due dates of each intervention stage.

摘要

目前用于检查患者的程序(静脉闭塞体积描记法、多普勒超声心动图、经皮氧分压测定和计算机断层扫描)能够明确完整组织与血管发育异常受累区域之间解剖关系的性质、范围、部位及特征,极大地有助于此类患者手术治疗方案的选择。在麻醉保护患者过程中应用目前的程序,采用血液稀释、药物控制性低血压以及术中患者自身血液,只要手术理念基于采用血管内闭塞技术的分步治疗并遵循每个干预阶段的预定日期,就能确保进行根治性干预。

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