Kornienko V N, Shubin V S
Zh Vopr Neirokhir Im N N Burdenko. 1978 Jul-Aug(4):25-31.
The mechanisms of the regulation of blood drainage from the brain were defined more precisely in 87 neurosurgical patients on the basis of comprehensive examination of cerebral circulation. The vertebral venous plexus was found to play the most important role in this process. Under normal conditions, when the patient is lying blood drains along the internal jugular veins, when he is sitting it drains mainly along the vertebral venous plexus. In patients remaining in a horizontal position for a long period of time the regulation of venous drainage is impaired. In such cases blood drains along the internal jugular veins and the vertebral venous plexus both when the person is lying and when he is sitting. This may cause a deterioration in the condition of bed-ridden patients during and after an operation performed with the patient in a sitting position.
在对87例神经外科患者进行脑循环综合检查的基础上，对脑血液引流的调节机制进行了更精确的界定。发现椎静脉丛在此过程中起最重要作用。在正常情况下，患者躺着时血液沿颈内静脉引流，坐着时主要沿椎静脉丛引流。长期处于水平位的患者，静脉引流调节受损。在这种情况下，患者无论是躺着还是坐着，血液都沿颈内静脉和椎静脉丛引流。这可能导致卧床患者在坐位进行手术期间及术后病情恶化。
