Gorbunov F E, Zatevakhin I I, Seleznev A N
Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(8):1129-35.
The report is concerned with clinico-electrophysiological studies of 36 patients with acute occlusional processes in the system of the subclavian artery. The causes of acute occlusions were mainly cardiac disorders and anomalies in the development of bone-muscular systems in the upper apperture of the thorax. Diffucilties of diagnosis during the initial peroids can be explained by a prevalence of symptoms of irritation with wide zones of distribution of pain and acroparesthesia. The amount of supplementary methods of studies, including angiography, predetermine the second period which is characterized by symptoms of desintegration of the peripheral nervous system functions and typical signs of arterial ischemia. An early detection of causes of acute arterial ischemia is a basis for determining the level and volume of surgical operations and measures leading to the restitution of functions of the peripheral nervous system.
该报告涉及对36例锁骨下动脉系统急性闭塞过程患者的临床电生理研究。急性闭塞的原因主要是心脏疾病以及胸廓上口骨-肌肉系统发育异常。初始阶段诊断困难可归因于疼痛和肢端感觉异常广泛分布的刺激症状占主导。包括血管造影在内的辅助研究方法数量决定了第二阶段，其特征为周围神经系统功能解体症状和动脉缺血的典型体征。早期发现急性动脉缺血的原因是确定手术操作的水平和范围以及导致周围神经系统功能恢复的措施的基础。
