[Reaction of regional abdominal blood flow in peritonitis to vasoactive medication based on data of selective angiography and rheography]. / Reaktsiia regional'nogo abdominal'nogo krovotoka pri peritonite na primenenie vazoaktivnykh preparatov po dannym selektivnoi angiografii i reografii.

ABSTRACT

With the help of selective arteriography of the mesenteric vessels and rheography it was found that patients with peritonitis are characterized by a reduction of blood flow in the superior mesenteric artery as a result of a spasm of the artery and its branches in the small intestine wall. This reaction is functional and can be eliminated or attenuated by purposeful measures, the most effective of them being prolonged peridural anesthesia (PPA) and droperidol injections. Thus the both methods of correction of the peritonitis dynamics (PPA and droperidol) can block up the transition of the reactive stage of peritonitis to toxic. The use of regional rheography is thought to be more expedient in medical practice than selective angiography for the assessment of the character of mesenteric blood flow in operated peritonitis patients as a more accessible and safe method for multiple performances.