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[用硫喷妥钠放射温度测定法预测腰交感神经切除术的效果(作者译)]

[Forecasting of the effects of lumbar sympathectomy by the radiothermometry with pentothal (author's transl)].

作者信息

van der Stricht J, Pector J C, Blairon P, Dereume J P, Goldstein M

出版信息

Acta Chir Belg. 1977 Jan;76(1):67-72.

PMID:848236
Abstract

This test has been previously described and is used routinely by the authors since 1960. The method is based on the alternate arterial blood distribution between skin and muscle of a limb, depending on modifications in the vasomotor tone. Skin temperature, arteriography and progression speed of the contrast medium are measured simultaneously. The test shows the morphology of the arterial lesion. It measures vasomotor reserve by these parameters, especially the skin temperature, before and after administration of pentothal. Results are rated as good, average and poor. The authors have compared this test, performed before surgery, to the results of lumbar sympathectomy and found an excellent correlation. Late result of lumbar sympathectomy can thus be foreseen by means of this test provided no new organic lesion interferes with the hemodynamics of the limb.

摘要

该测试此前已有描述,自1960年起作者们就常规使用。该方法基于肢体皮肤和肌肉之间交替的动脉血液分布,这取决于血管运动张力的变化。同时测量皮肤温度、动脉造影和造影剂的推进速度。该测试显示动脉病变的形态。它通过这些参数,尤其是在注射硫喷妥钠前后的皮肤温度,来测量血管运动储备。结果分为良好、中等和较差。作者们将术前进行的该测试结果与腰交感神经切除术的结果进行了比较,发现两者具有极佳的相关性。因此,如果没有新的器质性病变干扰肢体的血流动力学,通过该测试可以预见腰交感神经切除术的后期结果。

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