Körner M
Anaesthesist. 1976 Oct;25(10):470-4.
Depending on the pressure of the palpating finger the radial pulse may be found differently "large" in spite of unchanged intravasal pulse pressure. In this paper the amplitude of the extravasal volume pulse is examined related to a continually diminished coupling pressure of a foto-electrical pulse detector. First, the amplitudes increase with the declining external pressure, reach a maximum and then diminish again. This is exactly the same course one gets palpating the radial pulse with the finger. The intravasal pressure amplitudes however show at the same time a different kind of course. These differences between extra- and intravasal pulsation usually can be seen in patients with undistrubed circulation. Having a vasoconstriction in the radial artery the course of the extravasal volume pulse-curve appears different and the sensation of the palpating finger, too. In this case the pulse is palpable evenly small. The differences can be explained by the changes in the pressure-builded elastic tension of the arterial wall and the stronger contraction of the vessels muscles in vasconstriction. Thus, the diagnosis vasoconstriction can be made palpating the radial pulse.
尽管血管内脉压不变,但根据触诊手指的压力不同,桡动脉搏动可能会呈现出不同程度的“强”。本文研究了血管外容积脉搏的振幅与光电脉搏探测器耦合压力持续降低之间的关系。首先,振幅随着外部压力的下降而增加,达到最大值后又再次减小。这与用手指触诊桡动脉时的情况完全相同。然而,血管内压力振幅同时呈现出不同的变化趋势。血管外和血管内搏动之间的这些差异通常在循环未受干扰的患者中可见。当桡动脉出现血管收缩时,血管外容积脉搏曲线的变化趋势不同,触诊手指的感觉也不同。在这种情况下,脉搏触诊起来始终较弱。这些差异可以通过动脉壁压力形成的弹性张力变化以及血管收缩时血管肌肉更强的收缩来解释。因此,通过触诊桡动脉可以诊断血管收缩。