Zapalski S, Checinski P
Department of General and Vascular Surgery, University School of Medicine, Poznan, Poland.
Int Angiol. 1988 Oct-Dec;7(4):325-7.
Changes in peripheral arteries of the extremities during acute ischemia were examined in 108 patients with embolism and 18 with arterial injuries. All patients were divided into four degrees of ischemia due to our own original classification. It can be stated that patients with the first degree of ischemia presented patent peripheral arteries. The rest of the patients presented different changes in the peripheral arteries such as thrombus or their patency was failed by the rigidity of the non-striated muscles of the arterial wall or by the pressure of the oedematous muscles. A new factor, decreasing after operation, an inflow of blood to the leg or to the hand, was found. It was an opening of the arteriovenous fistulas at the level of obstruction. The diagnostic value of the different tests for intraoperative assessment of the patency of the peripheral arteries is the discussed, emphasizing the value of the intraoperative arteriography.
对108例栓塞患者和18例动脉损伤患者的四肢外周动脉在急性缺血期间的变化进行了检查。根据我们自己最初的分类，所有患者被分为四个缺血程度。可以说，一度缺血的患者外周动脉通畅。其余患者外周动脉出现不同变化，如血栓形成，或其通畅性因动脉壁平滑肌僵硬或水肿肌肉的压迫而受阻。发现了一个术后降低的新因素，即腿部或手部的血液流入。这是在阻塞水平处动静脉瘘的开放。文中讨论了不同检查对外周动脉通畅性术中评估的诊断价值，强调了术中动脉造影的价值。
