Neĭmark A I
Biull Eksp Biol Med. 1977 Aug;84(8):149-52.
The state of hemodynamics of the kidney left after nephrectomy was examined by determining renal blood flow and rheorenography. In the two experimental series nephrectomy was accompanied by hemorrhage with the subsequent auto-blood and homologous blood transfusion. Nephrectomy produced a blood flow reduction in the remaining kidney associated with the lowering of the blood compression and vasospasm. The blood flow returned to the normal at the end of the first 24 hours, and then increased progressively. Hemorrhage during the operation aggravated the hemodynamic disorders in the remaining kidney during the first postoperative hours. The use of autoblood promoted their quick disappearance, within two hours. At the same time the use of homologous blood led to persistence of hemodynamic disorders up to three days after the operation.
通过测定肾血流量和肾血流图,对肾切除术后左侧肾脏的血流动力学状态进行了检查。在两个实验系列中,肾切除术伴有出血,随后进行了自体输血和异体输血。肾切除术导致剩余肾脏的血流减少,这与血压降低和血管痉挛有关。血流在最初的24小时结束时恢复正常,然后逐渐增加。手术期间的出血在术后最初几个小时加重了剩余肾脏的血流动力学紊乱。使用自体血促使这些紊乱在两小时内迅速消失。与此同时,使用异体血导致血流动力学紊乱持续到术后三天。