Zaar Morten, Secher Niels H, Tollund Carsten, Mortensen Christian R, Svendsen Lars Bo
Anæstesi og Operationsklinikken, Abdominalcentret, Rigshospitalet, Blegdamsvej 9, 2100 København Ø.
Ugeskr Laeger. 2014 Apr 7;176(15).
A mesenteric traction syndrome manifests in some patients undergoing major abdominal surgery and is identified by flushing, accompanied by hypotension and tachycardia. We used laser speckle contrast imaging to quantify blood flow in forehead skin of patients undergoing Whipple's operation. In two patients with similar blood pressure (-50 mmHg) and profound drop in systemic vascular resistance (-40%), forehead skin perfusion increased three-fold in one patient, while it was unchanged in a patient for whom flushing was not evident.
肠系膜牵拉综合征在一些接受大型腹部手术的患者中出现,其表现为面色潮红,并伴有低血压和心动过速。我们使用激光散斑对比成像技术对接受惠普尔手术患者的前额皮肤血流进行量化。在两名血压相似(-50 mmHg)且全身血管阻力显著下降(-40%)的患者中,其中一名患者的前额皮肤灌注增加了三倍,而在另一名未出现明显潮红的患者中,前额皮肤灌注没有变化。