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[患有各种中枢循环系统疾病的酗酒者的临床血液动力学分型]

[Clinico-hemodynamic typification of alcoholics with various central circulatory disorders].

作者信息

Kachaev A K, Levenets I V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(2):67-70.

PMID:1647632
Abstract

A study was made of the clinical picture of autonomic-somatic++ components of alcoholic abstinence and delirium as well as of the role of cardiovascular (hemodynamic) deviations. Using tetrapolar chest rheography the main types of hemodynamic disorders were described on a material of a random examination of 137 patients with stage II and III alcoholism. Of these, 64 patients were with the abstinent syndrome and 73 with the delirious syndrome according to the growth of the status gravity. Analysis of the clinical picture of the disease was first performed over time on the basis of the clinico-hemodinamic + parameters and phases of hemodynamic decompensation. The role of alcoholic cardiomyopathy in the general structure of the cardiovascular and somatovegetative manifestations was shown as dependent on variants of abstinence and delirium. Based on three clinico-hemodynamic++ types equivalent to the types of hemodynamic disorders, a new approach was applied to the differentiated treatment of alcoholic patients depending on their individual features, using optimally computed drug doses influencing the hemodynamics.

摘要

对酒精戒断和谵妄的自主神经 - 躯体成分的临床表现以及心血管(血液动力学)偏差的作用进行了研究。使用四极胸壁血流图,在对137例II期和III期酒精中毒患者进行随机检查的材料上描述了血液动力学障碍的主要类型。其中,根据病情严重程度的增加,64例患者患有戒断综合征,73例患有谵妄综合征。首先根据临床血液动力学参数和血液动力学失代偿阶段,随时间对疾病的临床表现进行分析。酒精性心肌病在心血管和躯体 - 植物神经表现的总体结构中的作用显示为取决于戒断和谵妄的类型。基于与血液动力学障碍类型等效的三种临床血液动力学类型,根据酒精性患者的个体特征,采用最佳计算的影响血液动力学的药物剂量,对其进行差异化治疗,采用了一种新方法。

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