Vasin N Ia, Shevelev I N
Vopr Neirokhir. 1975 Jul-Aug(4):16-25.
The results of a quantitative investigation of the circulation rate and peripheral vascular resistance effected by the method of venous occlusive plethysmography in 37 patients with severe cerebro-cranial injuries are reported. A correlative dependance of changes in the peripheral hemodynamics on the clinical manifestations of a traumatic brain lesion was disclosed. At this juncture three types of the peripheral blood flow changes that corresponded to the syndromes observed were recognized, namely: infra-axial, supra-axial and, pre-eminently, hemispheral ones. The grossest alterations were seen to occur in the case of the infra-axial syndrome of the affection, which manifested themselves in a steep decline of the circulation rate and an appreciable increase of the peripheral vascular resistance.
报告了对37例重度颅脑损伤患者采用静脉阻塞体积描记法所测得的循环速率和外周血管阻力的定量研究结果。揭示了外周血流动力学变化与创伤性脑损伤临床表现之间的相关性。此时,识别出了三种与观察到的综合征相对应的外周血流变化类型,即:轴下型、轴上型以及最主要的半球型。在外周血流轴下综合征病例中观察到了最严重的变化,表现为循环速率急剧下降和外周血管阻力显著增加。