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21.
Summary. Divers have worked at 500 m depth in the sea and have reached 700 m in simulated chamber dives. A prerequisite for this has been extensive physiological studies of the body's reactions to pressure and pressure changes. This paper reviews such physiological and pathophysiological studies with emphasis on recent developments. 相似文献
22.
距骨的血液供应及其临床意义 总被引:30,自引:0,他引:30
本文观察了24侧尸体足标本,均无已知临床血管疾病。在死后36~48小时之间行动脉灌注ABS填充剂,以化学腐蚀和手工剔除的方法清除软组织。距骨的血供来自小腿下部三根主要动脉的分支,即跗骨管动脉和三角支、近端和远端跗骨窦动脉、颈上支及后结节血管丛。跗骨管动脉常发自足底内侧动脉,而三角支多单独自胫后动脉发出;跗骨管动脉通常比三角支和跗骨窦动脉都来得细小。以上的这些动脉相互吻合,形成了一个骨膜血管网,覆盖于全部的距骨非关节面上。而且,环绕着跗骨管、跗骨窦、距骨颈的上面和距骨体部的内侧面,由三角支、跗骨管动脉、跗骨窦动脉、颈上支及其相互之间的吻合血管网形成了一个不定形的距骨动脉环。本文还讨论了距骨缺血性坏死与动脉环的可能关系,距骨骨折脱位或手术后的缺血性坏死是由于距骨动脉环的毁损或功能受影响所致。三角支在距骨骨折脱位时具有重要意义,手术或手法复位时应注意保护。 相似文献
23.
动脉硬化性脑白质病的CT表现与临床分析 总被引:1,自引:0,他引:1
目的 :探讨动脉硬化性脑白质病的临床与CT表现特点。方法 :收集 10 0例动脉硬化性脑白质病的临床与CT资料进行综合分析。结果 :10 0例的CT表现为 :弥漫性脑白质低密度改变 ,主要分布在双侧脑室旁及半卵圆中心白质区 ,病灶多呈条带状及月晕状。合并脑萎缩 90例 ;脑梗塞 76例 ,其中 2 5例有大的梗塞灶 ,其余为腔隙性梗塞 ;脑出血 9例 ,其中位于壳核 5例 ,丘脑 3例 ,小脑 1例 ;有 15例伴发基底节区软化灶。增强扫描 8例 ,显示病灶无明显增强。结论 :动脉硬化性脑白质病是发生于老年人的缺血性脑血管病 ,高血压动脉硬化是其主要发病因素。 相似文献
24.
25.
M. S. Tverskaya V. V. Karpova A. O. Virganskii V. V. Banin L. A. Tsareva I. Zh. Satylganov R. V. Rogulenko E. I. Tikhvinskaya M. A. Chumakova I. G. Saganelidze 《Bulletin of experimental biology and medicine》1992,113(3):430-433
N. I. Pirogov Second Moscow Medical Institute. (Presented by Academician of the Academy of Medical Sciences of the USSR V. S. Savel'ev.) Translated from Byulleten' Ékperimental'noi Biologii i Meditsiny, Vol. 113, No. 3, pp. 327–329, March, 1992. 相似文献
26.
27.
Summary The effects of acute arterial subdural bleeding on cerebrospinal fluid (CSF) pressure and 12 other vital parameters were studied in spontaneously breathing pigs (group 1, n=9) and in mechanically ventilated pigs (group 2, n=18) to analyze quantitatively the bleeding course and the lethal mechanism.Spontaneously breathing animals all succumbed after a mean bleeding volume of 45.6±8.9ml, corresponding to about 50 per cent of the intracranial volume, and a mean bleeding duration of 11.0±2.6 min. Rapid rise in CSF pressures, marked transtentorial pressure gradients, and progressive reductions of cerebral perfusion pressure leading to a permanently iso-electric EEG, apnoea and to a terminal rise in arterial pressure (Cushing response), was the rule in these animals.The mechanically ventilated animals had smaller bleeding volumes (34.3±8.1 ml), but longer bleeding durations (13.8±5.8 min). In this group 7 animals survived. They had no pressure gradients, and only moderate changes in arterial pressure and EEG. The 11 animals that succumbed had marked transtentorial pressure gradients, but smaller increments in arterial pressure than the spontaneously breathing animals.At autopsy, subdurally located blood was found throughout the intracranial and spinal subdural compartments and along the spinal nerve roots in both groups.The results of this study suggest that survival after acute subdural haematoma is influenced by the presence of transtentorial pressure gradients and by the spinal sac acting as a space for expansion. The beneficial effect of artificial ventilation is discussed.This study has been supported by the University of Oslo, The Anders Jahre Foundation for The Advance of Research, and by the Norwegian Society for fighting Cancer. 相似文献
28.
29.
G. Negri S. Grassi M. Zappia S. Cappabianca P. F. Rambaldi L. Mansi 《Journal of orthopaedics and traumatology》2006,7(4):176-181
Transient osteoporosis is an infrequent condition of uncertain etiology with pain, limited range of motion and radiographic
evidence of osteoporosis affecting one or more joints. It is self-limited, reversible and can involve only the hip (transient
osteoporosis of the hip, TOH) or, less frequently, one or more joints contemporaneously or at different times (regional migratory
osteoporosis, RMO). We studied four men with transient osteoporosis, including two with TOH and two with RMO. All patients
underwent a standard radiographic work-up of the affected joints, arteriovenous Doppler US, computed tomography, magnetic
resonance imaging (MRI) and three-phase bone scanning. In all patients, symptoms were related to bone marrow edema demonstrated
at MRI and to a transitory regional arterial hyperflow observed at the early scintigraphic analysis. On the basis of our observations,
we hypothesize that regional arterial hyperflow may be the cause of the bone marrow edema and therefore of the transient osteoporosis. 相似文献
30.
A. Barutçu 《European journal of plastic surgery》1994,17(6):316-318
Summary Pedicled temporoparietal fascial flaps have been used extensively in head and neck reconstruction for many years. Also, the fascia has been grafted, and the skin graft transformed into a vascularized pedicled flap (prefabricated temporoparietal fasciocutaneous flap). On the other hand, some authors have used free temporoparietal fascial flaps for defects that require to be filled in lower and upper extremity wounds. In this case, a free prefabricated temporoparietal fascio-chondro-cutaneous flap having only an arterial inflow was used in eyelid reconstruction.Presented at the 14th Congress of Turkish Plastic and Reconstructive Surgery, Ankara, Turkey, October 1992 相似文献