Neĭmark M I
Probl Endokrinol (Mosk). 1977 Jan-Feb;23(1):26-32.
A study was made of microcirculation in 45 patients suffering from diffuse toxic goiter at the early postoperative period with the aid of microphotography of the bulbar conjunctiva vessels, and investigation of the rate of the isotope elimination from the intradermal depot and the capillary permeability by V. P. Kaznacheev's method. The data obtained permitted to draw a conclusion that on admission to the clinic patients with toxic goiter were suffering from arteriolar spasm, had poor vascular pattern in the bulbar conjunctiva, the sledge phenomenon in small venules, an acceleration of the isotope elimination from the intradermal depot and an increase of the capillary permeability. Preoperative preparation improved the microcirculation indices, without completely normalizing them, however. Microcirculatory disturbances reached their maximum the first two days after the operation and declined by the 3rd-5th day. Recommendations on correction of the microcirculatory disturbances are given.
对45例弥漫性毒性甲状腺肿患者术后早期的微循环进行了研究，借助球结膜血管显微摄影、采用V.P.卡兹纳切耶夫法研究皮内贮库中同位素的消除速率和毛细血管通透性。所获数据表明，毒性甲状腺肿患者入院时存在小动脉痉挛，球结膜血管形态不佳，小静脉出现雪橇现象，皮内贮库中同位素消除加速，毛细血管通透性增加。术前准备改善了微循环指标，但未使其完全恢复正常。微循环障碍在术后头两天达到高峰，至第3 - 5天有所减轻。文中给出了纠正微循环障碍的建议。
