Rudigier J, Grünert A
Arch Orthop Trauma Surg (1978). 1978 Apr 18;91(2):85-95. doi: 10.1007/BF00378889.
This paper shows the effects of the increase in pressure in the medullary cavity in the blood circulation and the respiration observed during implantation of bone cement with animal experiments. The pathomechanism is also examined. The reactions of the respiration and the circulation, when observed, resulted in the intramedullary increase in pressure. These are nerval reflexes caused by the innervation in the medullary cavity and are not reactions of the monomer, which may come into the circulation during the polimerization of bone cement. These reactions are very different from those caused by the fatal obstruction of the pulmonary blood vessels through bone marrow ingredients. This is the effect of an insufficient prevention of increase in medullary pressure during cement implantation.
本文通过动物实验展示了在骨水泥植入过程中，髓腔内压力升高对血液循环和呼吸的影响。同时也研究了其病理机制。观察到呼吸和循环反应导致了髓腔内压力升高。这些是由髓腔内神经支配引起的神经反射，而非骨水泥聚合过程中可能进入循环的单体的反应。这些反应与因骨髓成分导致肺血管致命性阻塞所引起的反应截然不同。这是在骨水泥植入过程中对髓腔压力升高预防不足的结果。
