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In an earlier work in normal subjects, we demonstrated that the subcutaneous tissue blood flow in the limb was found to be significantly reduced by raising the limb above heart level using the hydrogen washout technique. In order to investigate the effects of congestion and limb elevation on the circulation to the skin of the foot, we measured transcutaneous PO2 in a group of five normal subjects to noninvasively reflect changes in skin blood flow. Both congestion and elevation of the foot reduced the local transcutaneous PO2. A combination of congestion and elevation had a significantly greater effect than either of these modalities applied singly. Although limb elevation is clinically useful in the control of limb swelling, the surgeon should be aware of this potential deleterious effect on local circulation.
- 西日本整形・災害外科学会の論文
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