Bobrova I A
Vrach Delo. 1991 Sep(9):73-6.
The important role is emphasized of microcirculatory disorders in the pathogenesis of viral hepatitis and the necessity of their early diagnosis. For this purpose the method of infrared thermography of the upper extremities (hands) was used that allowed to reveal pronounced disorders of the peripheral hemodynamics in a significant number of patients with acute and chronic viral hepatitis, in particular, hepatitis B that promoted a more severe, progressive course of the disease. It is concluded that for instituting pathogenetically substantiated treatment, prognosis and prevention of unfavourable outcomes it is necessary to supplement clinico-laboratory data by instrumental examination of the terminal blood flow, in particular, thermography of the extremities.
强调了微循环障碍在病毒性肝炎发病机制中的重要作用及其早期诊断的必要性。为此,采用了上肢(手部)红外热成像方法,该方法能够在大量急性和慢性病毒性肝炎患者,尤其是乙型肝炎患者中发现明显的外周血流动力学紊乱,这促使疾病呈现更严重、进展性的病程。得出结论,为了制定基于发病机制的治疗方案、判断预后及预防不良后果,有必要通过对末梢血流进行仪器检查,特别是肢体热成像,来补充临床实验室数据。