Mintser O P, Kovalenko L L
Ter Arkh. 1986;58(10):45-8.
The main parameters of the cardiohemodynamics, blood gas composition and acid-base balance were studied in 82 patients with uncomplicated influenza and in 124 patients with influenza aggravated by acute pneumonia. The disorders revealed were essentially dependent on the disease gravity and complications. To evaluate quantitatively the relationship between the respiratory and cardiovascular systems, use was made of the correlation ratios for all the pair parameters under study. The pulmonary artery pressure was highly dependent on the level of the diastolic systemic pressure in grave uncomplicated influenza (r = -0.932) and on the heart rate (r = +0.861) in influenza aggravated by pneumonia. These findings enabled the derivation of appropriate regression equations, which are simple and can thus be widely used in practice to measure the pressure in the pulmonary circulation and to correct pulmonary hypertension. The making up of the correlation schemes permitted evaluating the tendencies in the changes of the most important parameters of the cardiohemodynamics and homeostasis and forming a judgement about tension of the compensatory processes in the body during grave influenza and influenza complicated by acute pneumonia.
对82例无并发症流感患者和124例因急性肺炎加重的流感患者的心脏血流动力学、血气成分及酸碱平衡的主要参数进行了研究。所发现的紊乱情况主要取决于疾病的严重程度和并发症。为了定量评估呼吸和心血管系统之间的关系,对所研究的所有成对参数使用了相关比。在严重的无并发症流感中,肺动脉压高度依赖于舒张期体循环压力水平(r = -0.932),而在因肺炎加重的流感中,肺动脉压高度依赖于心率(r = +0.861)。这些发现使得能够推导出合适的回归方程,这些方程简单,因此可在实践中广泛用于测量肺循环压力和纠正肺动脉高压。相关方案的制定有助于评估心脏血流动力学和体内平衡最重要参数的变化趋势,并对重症流感及并发急性肺炎的流感期间机体代偿过程的紧张程度做出判断。