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[锁骨下系统闭塞患者术后近期及远期神经系统疾病的动态变化]

[Dynamics of neurologic disorders in the immediate and late postoperative periods in patients with occlusions in the subclavian system].

作者信息

Gorbunov F E, Seleznev A N

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(1):56-60.

PMID:7064606
Abstract

Combined examinations of 56 patients with acute and subacute occluding processes within the subclavicular artery system were carried out in the immediate and lat periods following surgical treatment. An analysis of the data obtained showed that despite the restoration of the arterial blood flow most patients still exhibited (or developed anew) various disturbances on the part of the central and peripheral nervous system. A dependence of those disturbances on the initial degree of the tissue ischemia, adequacy of the blood flow restoration, and collateral circulation state in the immediate period, and the progress of the atherosclerotic process in the late post-operational period was revealed. Of a certain importance was development of powerful pathological impulsation from the vegetative structures situated in the ischemic zone.

摘要

对56例锁骨下动脉系统急性和亚急性闭塞性病变患者在手术治疗后的近期和远期进行了综合检查。对所获数据的分析表明,尽管动脉血流得以恢复,但大多数患者仍表现出(或再次出现)中枢和周围神经系统的各种功能障碍。揭示了这些功能障碍与组织缺血的初始程度、血流恢复的充分性、近期侧支循环状态以及术后远期动脉粥样硬化进程的相关性。位于缺血区的自主神经结构产生强烈的病理冲动具有一定重要性。

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