Ivanova T N, Tsarbak G D
Probl Tuberk Bolezn Legk. 2003(5):33-6.
Functional disorders in the respiratory apparatus and blood circulation were studied in 76 patients with tuberculosis of the spinal column concomitant with pulmonary tuberculosis. Spirography, pneumotachography, elctrocardiography, integral rheography and the method variability of cardiac rate were made use of in the diagnostics of the mentioned disorders. Combined tuberculosis of the spinal column and lungs was found to be accompanied, in case of an active pulmonary process, by instable hemodynamic indices, a reduced contractive myocardium function, an insufficient hemodynamic provision and an increased tension in the respiratory system (impaired ventilation and bronchial patency). Simultaneously, a significant vegetative imbalance with an extremely pronounced hypersympathicotonia and over-tension of the adaptation mechanisms in an active pulmonary process, were registered. The detected dysfunctions need to be corrected due to a forthcoming surgical treatment of tuberculous spondylitis.
对76例合并肺结核的脊柱结核患者的呼吸器官和血液循环功能障碍进行了研究。在上述疾病的诊断中采用了肺功能描记法、呼吸流速描记法、心电图检查、整体血流图检查以及心率变异性方法。发现脊柱和肺部的合并结核在肺部病变活动时，伴有血流动力学指标不稳定、心肌收缩功能降低、血流动力学供应不足以及呼吸系统张力增加（通气和支气管通畅性受损）。同时，在肺部病变活动时，记录到明显的植物神经功能失调，伴有极其明显的交感神经过度兴奋和适应机制过度紧张。由于即将对结核性脊柱炎进行手术治疗，所检测到的功能障碍需要得到纠正。
