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[枕颞区动脉-窦吻合术中的脑循环]

[Cerebral circulation in arterio-sinus anastomoses of the occipito-mastoid area].

作者信息

Padalko P I, Kornienko V N

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1977 Nov-Dec(6):12-7.

PMID:602091
Abstract

The hemodynamic indices were studied in 12 patients with anastomoses in the occipito-mastoid region before and after operation for disconnection of the shunts. Exclusion of the shunt between large arterial vessels from the blood supply lead to marked correction of the dynamics of the cerebrospinal fluid and blood in the brain: the cerebrospinal fluid and venous pressure in the internal jugular veins and superior sagittal sinus decreased, the perfusion pressure in the brain increased, the cerebral circulation time was accelerated, the consumption of oxygen by the brain and the arterio-venous difference in oxygen increased, and the acid-base condition and gases in the blood returned to normal levels.

摘要

对12例枕乳区存在吻合支的患者在分流断开手术前后进行了血流动力学指标研究。将大血管之间的分流从血液供应中排除,导致脑脊液和脑内血液动力学显著改善:颈内静脉和上矢状窦内的脑脊液和静脉压力降低,脑灌注压升高,脑循环时间加快,脑耗氧量和动静脉氧差增加,血液中的酸碱状况和气体恢复到正常水平。

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