高いカフ圧で生じるコロトコフ音の発生機構

抄録

The genesis of Korotkoff sound at high cuff pressure has been made clear by the model expreimental study using the thin walled silicon rubber tube being modified to have zero internal cross sectional area as an artery ehen compressed by the relatively higher external pressure than the internal one. The sound is generated by the steep pressure wave front formed in the course of pressure wave propagation through the completely collapsed tube segment under the cuff. The amplitude of the pressure wave penetrating into the collapsed tube segment and that of the steep wave front reaching to the distal end of the segment, measured from the artery also weakens correspondingly and, at some Peb, the sound becomes unaudible. The pressure wave form depends strongly on the transmural pressure at the distal end of the collapsed segment.