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[应激对血液聚集状态的影响]

[Stress effect on the blood aggregate state].

作者信息

Subbotina L A

出版信息

Aviakosm Ekolog Med. 2008 May-Jun;42(3):34-7.

Abstract

Pathologies of the blood aggregate state (BAS) as a factor of risk of thromboses and hemorrhages in military pilots constitute the pressing problem of aviation medicine. To study effects of aviation stress on BAS, the following eight models of high-altitude flights were tested: (I) infringed 14-hr flight day (Razinkin model of fatigue), (II) static fight loading, (III) heavy dynamic physical loading, (IV) submaximal dynamic physical loading, (V) complex of submaximal dynamic physical loading, (VI) hyperthermia, (VII) dynamic g-loads during centrifugation, and (VIII) extended altitude hypoxia. The experiments involved 61 essentially healthy males up to 50 years of age who did not take protective pharmaceuticals. Biomedical BAS evaluation included bimodal--coagulolithic (biochemical) and system (mathematical)--monitoring of the test and control samples. The total number of samples was 1432. The investigation resulted in establishment of three forms of BAS-related reaction of organism to the environmental stress factors which are, specifically, hyper-hypocoagulation (thromboses and hemorrhages--II, IV, VI), hypercoagulation (thrombophilia--III) hypo-coagulation (hemorrhages--I, V). On this evidence, it is concluded that stress causes functional strain of the BAS regulation system and consequent thrombohemorrhagic, thrombophilic or hemorrhagic hemoaggregation. Also, the data suggest the fundamental role of BAS in stress pathogenesis and diagnostics of stress-induced diseases in pilots and cosmonauts.

摘要

血液聚集状态(BAS)的病理学作为军事飞行员血栓形成和出血风险的一个因素,是航空医学中亟待解决的问题。为了研究航空应激对BAS的影响,测试了以下八种高空飞行模型:(I)飞行日时长14小时受限(拉津金疲劳模型),(II)静态飞行负荷,(III)重度动态体力负荷,(IV)次最大动态体力负荷,(V)次最大动态体力负荷组合,(VI)高热,(VII)离心过程中的动态过载,以及(VIII)长时间高空缺氧。实验涉及61名年龄在50岁以下、未服用防护性药物的基本健康男性。生物医学BAS评估包括对测试样本和对照样本进行双峰——凝血(生化)和系统(数学)——监测。样本总数为1432个。调查结果确定了机体对环境应激因素的三种与BAS相关的反应形式,具体为:高凝-低凝(血栓形成和出血——II、IV、VI)、高凝(血栓形成倾向——III)、低凝(出血——I、V)。据此得出结论,应激会导致BAS调节系统功能紧张,进而引发血栓出血、血栓形成倾向或出血性血液聚集。此外,数据表明BAS在飞行员和宇航员应激发病机制及应激性疾病诊断中具有重要作用。

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