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[低温手术中外周循环的功能行为]

[The functional behavior of peripheral circulation in cryogenic surgery].

作者信息

Ernst F D, Knoch H G

出版信息

Z Exp Chir. 1979;12(3):171-80.

PMID:532237
Abstract

The reactive behaviour of little vessels of the circulatory periphery against the effect of extremely deep temperatures was examined in a sense of a microflow measurement by means of the intravital microcinematography. The results obtained by mathematical analysis of the single figure demonstrate that the vessels of microcirculation are remarkably resistant against rapid withdrawal of heat. In this way the quickly recovered blood-flow in the periphery of circulation can reduce detrimentally the time of tissue thawing treated by cryosurgery. Both the shortening of the thawing phase after cryosurgery conditioned by hemodynamics and the development of a cold edema can be met by experimentally confirmed adrenergic influence of the vasoconstriction under local anesthesia.

摘要

通过活体显微电影摄影术进行微流量测量,从某种意义上研究了循环外周小血管对极低温影响的反应行为。对单张图像进行数学分析得到的结果表明,微循环血管对快速散热具有显著的抵抗力。通过这种方式,循环外周迅速恢复的血流会不利地缩短冷冻手术治疗的组织解冻时间。由血液动力学决定的冷冻手术后解冻期的缩短以及冷性水肿的形成,都可以通过局部麻醉下实验证实的血管收缩的肾上腺素能影响来应对。

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