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严重原发性动脉高血压和血栓性血管炎的延髓硬化、对侧肾上腺切除术及内脏交感神经切除术。第二部分

Medullosclerosis, contralateral adrenalectomy and splanchnicosympathectomy in severe essential arterial hypertension and thromboangiitis. Part II.

作者信息

Mandache F, Prodescu V, Constantinescu S, Kover G, Abramescu N, Popa F, Cantaragiu S, Popescu G

出版信息

Endocrinologie. 1977 Jul-Sep;15(3):163-6.

PMID:918525
Abstract

Operations were performed in 58 patients with severe essential hypertension and in 105 patients with Buerger's thromboangiitis. No postoperative deaths were recorded. The mean adrenalinemia value decreased by 70.91% and that of noradrenalinemia by 10.34%. Systolic pressure decreased by about 30--50 mm Hg and the diastolic pressure by 10--30 mm Hg. The delayed results (1--20 years) were good in 62% of the patients with IIIrd-degree eye lesions and in 17% of the patients in the organofunctional stage II, in 17% of the patients in stage II--III of restricted necrosis, and in 4% of the patients in gangrenous stage III.

摘要

对58例重度原发性高血压患者和105例血栓闭塞性脉管炎患者进行了手术。术后无死亡记录。肾上腺素血症平均值下降了70.91%,去甲肾上腺素血症平均值下降了10.34%。收缩压下降了约30 - 50毫米汞柱,舒张压下降了10 - 30毫米汞柱。在眼部III度病变患者中,62%的患者远期结果(1 - 20年)良好;在器官功能II期患者中,17%的患者远期结果良好;在局限性坏死II - III期患者中,17%的患者远期结果良好;在坏疽性III期患者中,4%的患者远期结果良好。

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1
Medullosclerosis, contralateral adrenalectomy and splanchnicosympathectomy in severe essential arterial hypertension and thromboangiitis. Part II.严重原发性动脉高血压和血栓性血管炎的延髓硬化、对侧肾上腺切除术及内脏交感神经切除术。第二部分
Endocrinologie. 1977 Jul-Sep;15(3):163-6.
2
[Chemical medullosclerosis with 40-percent sodium salicylate, combined with splanchnicosympathectomy, with or without contralateral adrenalectomy, in severe essential arterial hypertension. II. Clinical, paraclinical and technical studies. Results for a period of 2 to 20 years (original concepts and therapy)].重度原发性动脉高血压中40%水杨酸钠化学性延髓硬化联合内脏交感神经切除术,伴或不伴对侧肾上腺切除术。II. 临床、辅助检查及技术研究。2至20年的结果(原始概念及治疗方法)
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1980 Nov-Dec;29(6):401-12.
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[Lumbar sympathectomy associated with adrenal medullosclerosis, with or without adrenalectomy on the opposite side of the thromboangiitis].[腰交感神经切除术伴肾上腺髓质硬化,血栓闭塞性脉管炎对侧有无肾上腺切除术]
J Chir (Paris). 1968 Apr;95(4):489-94.
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Buerger's disease versus adrenalectomy and sympathectomy.血栓闭塞性脉管炎与肾上腺切除术及交感神经切除术
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J Chir (Paris). 1972 May-Jun;103(5):451-64.
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[Severe arterial hypertension due to chronic constitutional hyperadrenalism. Splanchnic sympathectomy and left adrenal medulla sclerosis with 40 percent sodium salicylate (result after 3 years--genetic chemosurgery)].[慢性体质性肾上腺皮质功能亢进所致严重动脉性高血压。内脏交感神经切除术及左肾上腺髓质硬化术联合40%水杨酸钠治疗(3年后结果——基因化学外科手术)]
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