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[主动脉及主要动脉闭塞性动脉硬化血管重建术后下肢的血液循环]

[Blood circulation in the lower extremities after reconstructive operations on the vessels in arteriosclerosis obliterans of the aorta and major arteries].

作者信息

Lebedev L V, Vavilov V N, Shlomin V V

出版信息

Kardiologiia. 1980 Nov;20(11):86-91.

PMID:7441983
Abstract

Circulation in the lower limbs of 22 patients with obliterating arteriosclerosis of the aorta and main arteries was studied during operation by means of occlusion plethysmography and from the results of manometry and flow measurement. All patients underwent reconstructive operations on the vessels. Ejection of blood into the limb with a large volume of the contributing vascular bed was encountered immediately and in the first few days after the operation; the specific blood flow (ml/min/100 cm3 tissue) sharply increased in the limb most affected by ischemia. Circulation in the lower limbs was gradually normalized by the 5 th--7 th day. Some indices obtained during the study are important for understanding the course of the postoperative period in patients with the pathological condition discussed.

摘要

通过闭塞体积描记法以及压力测量和流量测量结果,对22例患有主动脉和主要动脉闭塞性动脉硬化的患者在手术过程中下肢的血液循环进行了研究。所有患者均接受了血管重建手术。在术后即刻及最初几天,发现大量供血血管床将血液注入肢体;在受缺血影响最严重的肢体中,比血流量(毫升/分钟/100立方厘米组织)急剧增加。下肢血液循环在第5至7天逐渐恢复正常。研究期间获得的一些指标对于理解所讨论病理状况患者术后阶段的病程很重要。

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