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[高压氧疗对老年缺血性心脏病合并循环功能不全患者中心血流动力学、血气成分及酸碱状态的影响]

[The effect of hyperbaric oxygenation on central hemodynamics, blood gas composition and acid-base status in elderly patients with ischemic heart disease and circulatory insufficiency].

作者信息

Khaĭdarova G Kh

出版信息

Anesteziol Reanimatol. 1990 Nov-Dec(6):45-8.

PMID:2075932
Abstract

210 patients with ischemic heart disease and heart failure, stage I, HA, IIB, aged 60 to 74 years, have been examined. The effect of HBO on central hemodynamics, gas composition and acid-base balance has been assessed. It has been established that HBO is associated with a definite tendency towards cardiac output normalization, as well as hemodynamic economization associated with accelerated heart rate and more adequate correlation between cardiac output and peripheral vascular resistance. The analysis of gas exchange and acid-base balance parameters indicates HBO-induced acidotic shifts. The data of polarographic studies demonstrate that increased metabolic activity is typical not only of the cardiac muscle but of other tissues as well. A favourable effect of HBO on oxygen tissue supply in patients with ischemic heart disease and heart failure is to a certain extent due to stimulation of peripheral circulation and its capillary compartment.

摘要

对210例年龄在60至74岁、患有缺血性心脏病且处于心力衰竭I期、HA、IIB阶段的患者进行了检查。评估了高压氧(HBO)对中心血流动力学、气体成分和酸碱平衡的影响。已确定HBO与心输出量正常化的明确趋势相关,以及与心率加快和心输出量与外周血管阻力之间更适当相关性相关的血流动力学节约。气体交换和酸碱平衡参数分析表明HBO诱导了酸中毒变化。极谱研究数据表明,代谢活性增加不仅是心肌的典型特征,也是其他组织的典型特征。HBO对缺血性心脏病和心力衰竭患者组织氧供应的有利作用在一定程度上归因于对外周循环及其毛细血管部分的刺激。

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