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正常流入和流出血管情况下腋股动脉搭桥术的血流动力学

Haemodynamics of axillofemoral grafting in a case with normal inflow and outflow vessels.

作者信息

Delin A, Swedenborg J

出版信息

Br J Surg. 1977 Nov;64(11):773-4. doi: 10.1002/bjs.1800641104.

DOI:10.1002/bjs.1800641104
PMID:588968
Abstract

Intra-operative haemodynamics were studied in a case of axillofemoral grafting. When the normal axillary artery acted as the donor artery no steal from the arm occurred, even after vasodilatation in the leg. When, conversely, the very poor arterial collaterals to the leg were required to serve as donor arteries because the axillary artery proximal to the anastomosis was occluded by a clamp, a steal from the leg to the arm was observed. The study supports the concept that only if the donor artery has a high resistance to flow can a steal develop.

摘要

在一例腋股动脉搭桥手术中对术中血流动力学进行了研究。当正常的腋动脉作为供体动脉时,即使腿部血管扩张,也未发生从手臂盗血的情况。相反,当由于吻合口近端的腋动脉被夹子夹闭,需要由非常差的腿部动脉侧支作为供体动脉时,观察到了从腿部到手臂的盗血现象。该研究支持这样一种观点,即只有当供体动脉对血流具有高阻力时才会发生盗血。

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