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1978年的血栓后综合征(作者译)

[Postthrombotic syndrome 1978 (author's transl)].

作者信息

Brunner U

出版信息

Langenbecks Arch Chir. 1978 Nov;347:239-47. doi: 10.1007/BF01579336.

Abstract

Venous reconstruction is frequently endangered by the slow velocity of the blood. Thrombotic occlusion may be prevented by a temporary arteriovenous shunt. The conventional technique of temporary arteriovenous shunting, however, bears the danger of late arterial stenosis. Furthermore, the transposition of blood into the subcutaneous region may result in a dilation of the venous graft. This is demonstrated in a case of Palma's operation. The early results with a suspended ring suture of our own design are encouraging. Surgery of secondary alterations in case of postthrombotic syndrome is illustrated by some outstanding examples.

摘要

静脉重建常常因血流速度缓慢而受到威胁。临时性动静脉分流可预防血栓形成性闭塞。然而,传统的临时性动静脉分流技术存在晚期动脉狭窄的风险。此外,血液转流至皮下区域可能导致静脉移植物扩张。在帕尔马手术的一个病例中就证明了这一点。我们自行设计的悬吊环缝合法的早期效果令人鼓舞。一些典型案例展示了血栓形成后综合征继发改变的手术治疗情况。

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