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[关于脑循环障碍发病机制的新发现]

[New findings concerning pathogenesis of disorders of cerebral circulation].

作者信息

Gannushkina I V, Antelava A L, Baranchikova M V, Konorova I L, Kukleĭ M L, Dzhibladze D N, Lagoda O V

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1997;97(6):4-8.

Abstract

The data about the role of blood flow in atherosclerosis development were examined. The aim of the study was determination of hydrodynamic blood resistance and Toms effect in patients with ischemic disorders of cerebral circulation in different periods of the disease. 45 patients with atherosclerotic damages of major arteries of head were observed. Such damages were combined with arterial hypertension in 32 individuals. The value of hematocrit, asymptotic viscosity, hydrodynamic resistance and Toms' effect were determined in blood as well as levels of cholesterol, beta-lipoproteins and platelets. The presence of Toms' effect was found in blood samples of both patients and controls. There was a significant increase of hydrodynamic blood resistance in all the patients as compared to control group. The patients with ischemic disorders of cerebral circulation were compensated by their own blood factor in less degree in acutest and acute periods than later. Low values of Toms' effect in separate patients were prognostic sings for good restoration of neurologic functions; higher values were observed in patients with arterial hypertension. The conclusion was made that hemodynamic properties of blood flow may be considered as predictors of the severity of the course of cerebral circulation disorders.

摘要

研究了关于血流在动脉粥样硬化发展中作用的数据。该研究的目的是确定不同疾病时期脑循环缺血性疾病患者的血液流体动力阻力和汤姆效应。观察了45例头部主要动脉粥样硬化损伤患者。其中32例合并动脉高血压。测定了血液中的血细胞比容、渐近粘度、流体动力阻力和汤姆效应,以及胆固醇、β脂蛋白和血小板水平。在患者和对照组的血样中均发现了汤姆效应。与对照组相比,所有患者的血液流体动力阻力均显著增加。脑循环缺血性疾病患者在急性期和急性后期比之后靠自身血液因子代偿的程度更低。个别患者汤姆效应值低是神经功能良好恢复的预后指标;动脉高血压患者中观察到的值较高。得出的结论是,血流的血液动力学特性可被视为脑循环障碍病程严重程度的预测指标。

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