Shishkin S A
Anesteziol Reanimatol. 1993 Nov-Dec(6):66-8.
A total of 1050 subclavian catheterizations have been performed in an intensive care unit, thrombophlebitic complications have been clinically diagnosed in 22 patients (2.1%), 3 patients developed signs of chronic venous failure long after the procedure. Intravascular laser blood irradiation (IVLBI) reduced hypercoagulation, increased fibrinolytic activity, improved blood viscosity, stimulated collateral blood flow, etc. That is why IVLBI was used in a complex of therapeutic procedures in 7 patients with thrombophlebitic complications upon subclavian catheterization. In 1 patient IVLBI was used in combination with intravenous sodium hypochlorite administration. The course of IVLBI consisted of 5-7 procedures, the power of irradiation at the end of the light probe was 5-6 mWt. The level of medium mass molecules, leukocyte index of intoxication, hematological index of intoxication, coagulogram parameters have been assessed; contrast phlebography was performed in patients with phlebothrombosis before and after IVLBI. There were no signs of chronic venous failure in this group of patients long after the procedure. The author comes to the conclusion that the use of low intensity laser irradiation and intravenous administration of sodium hypochlorite improve the effect of therapy in postcatheterization thrombophlebitic complications.
在一个重症监护病房共进行了1050次锁骨下静脉置管，22例患者（2.1%）临床诊断为血栓性静脉炎并发症，3例患者在置管术后很长时间出现慢性静脉功能不全的体征。血管内激光血液照射（IVLBI）可降低高凝状态、增加纤溶活性、改善血液粘度、刺激侧支血流等。因此，IVLBI被用于7例锁骨下静脉置管后血栓性静脉炎并发症患者的综合治疗程序中。1例患者将IVLBI与静脉注射次氯酸钠联合使用。IVLBI疗程包括5 - 7次治疗，光探头末端的照射功率为5 - 6毫瓦。评估了中分子量水平、白细胞中毒指数、血液中毒指数、凝血图参数；对静脉血栓形成患者在IVLBI前后进行了静脉造影。在这组患者术后很长时间没有慢性静脉功能不全的体征。作者得出结论，低强度激光照射和静脉注射次氯酸钠的使用可提高导管插入术后血栓性静脉炎并发症的治疗效果。
