Peregudov I G, Prokhorov G G, Alent'ev A A, Keerig Iu Iu
Vestn Khir Im I I Grek. 1989 Feb;142(2):45-9.
The authors have shown that operation of lumbar sympathectomy increases the skin oxygenation level, increases the volume blood flow in the main arteries and gives rise to positive shifts in metabolic processes in the extremity tissues. The operation is most effective at the 2nd stage of the disease but is getting less effective at the third stage. At the 4th stage of the disease the operation is indicated but with limited necroses of distal parts of the extremity, intact blood flow not less than 40% of the normal, the leg skin oxygenation level higher than 30 mm Hg, shift of blood pH to subcompensated acidosis.
作者已经表明，腰交感神经切除术可提高皮肤氧合水平，增加主要动脉的血流量，并使肢体组织的代谢过程产生积极变化。该手术在疾病的第二阶段最为有效，但在第三阶段效果逐渐减弱。在疾病的第四阶段，该手术虽有指征，但肢体远端部分有局限性坏死，血流不少于正常的40%，腿部皮肤氧合水平高于30毫米汞柱，血液pH值向未完全代偿性酸中毒转变。
