Стан колатерального судинного русла та перспектива його корекції шляхом форсованого лаважу у комплексному лікуванні діабетичної ангіопатії

Анотація

We examined 26 lower extremities after amputations and investigated hydraulic resistance of arteries of lower extremities and perform intensive irrigation of 0,9% sodium chloride solution. Initial level of resistance was more than 5000 х 10⁹ Pа·sec/m³. After irrigation resistance decreased. But only intensive lavage (3 ml/sec) enabled overcome high initial resistance and decreased it to physiological level after infusion of 120 ml. Than resistance increased. At the end of research (240 ml) was 30-50% of initial level. Patients with diabetes had long stenosis and occlusions of main and collateral arteries of a leg. Patients without diabetes had local alterations. Main arteries were stenosed on 60-90%. Collateral arteries were soft, elastic, without stenosis and occlusions.