外伤性截瘫对微循环的远期影响

Influence of Paraplegia on Microcirculation

选1976年7月唐山、丰南地区强烈地震后,所致外伤性截瘫患者中的129例病人,于12年后进行甲襞微循环检查。结果表明,外伤性截瘫患者存在严重的甲襞微循环异常。表现为管袢的输入枝、输出枝大部分较正常增粗,长度缩短,畸形管袢数明显增多,血流速度减慢,提示纠正微循环障碍与脊髓、瘫痪肢体及其它内脏功能的恢复密切相关。如能在早期治疗的同时,重视纠正微循环障碍的治疗,将有助于病人得到理想的康复。

The nail-fold microcirculation was examined on 129 patients with para- plegia as a result of the Tangshan and Fengnan earthquake 12 years ago. The results re- vealed severe disturbance on nail-fold microcirculation in these patients, manifesthed by increased diameter length and shortened of input and output loops, by the increase of the number of deformity loop and the decrease of blood velocity. It shows that alleviating mic- rocirculatory disturbance is closely related with the restoration of the function of paralytic limbs, spinal cord and viscera. Therefore, it would be very help-ful and important to a satisfactory convalescence, that close attention be paid to the alleviation of microcirculatory disturbance at the early stage of paraplegia.