Ishchenko M M, Vesel'skiĭ I Sh
Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(1):8-17.
In 50 patients with transient disorders of cerebral circulation due to hypertensive disease (27 cases), and combinations of hypertensive disease with atherosclerosis (23 cases) the authors by means of diluting Ewans blue stain (T-1824) studied the indices of general hemodynamics compared to that of REG data . For control purposes 10 patients with hypertensive disease in concomitance with atherosclerosis without transient disorders of cerebral circulation and 20 normals were studied. The study permitted to detect signs of disturbed general and cerebral hemodynamics which were most expressed in patients with severe cerebro-vascular crises, accompanied by a drop in the cardiac and pulse index, an increase of the general and specific peripheral resistance, a slowing of the blood flow rate on the segment hand-ear, an increase of the tone and drop of elasticity in the cerebral vessels, a decrease of cerebral blood repletion. Insufficiency of general hemodynamics leads to disorders of cerebral hemodynamics and unfavourably influences the development of the disease and the outcome of cerebrovascular crises.
在50例因高血压病导致脑循环短暂紊乱的患者(27例)以及高血压病合并动脉粥样硬化的患者(23例)中,作者通过稀释伊文思蓝染色(T - 1824)研究了总体血流动力学指标,并与脑电阻抗图(REG)数据进行比较。为作对照,研究了10例患有高血压病合并动脉粥样硬化但无脑循环短暂紊乱的患者以及20名正常人。该研究能够检测到总体和脑血流动力学紊乱的迹象,这些迹象在严重脑血管危机患者中最为明显,表现为心指数和脉搏指数下降、总外周阻力和比外周阻力增加、手 - 耳段血流速度减慢、脑血管张力增加和弹性下降、脑血充盈减少。总体血流动力学不足会导致脑血流动力学紊乱,并对疾病的发展和脑血管危机的结局产生不利影响。