Shakina N A
Kardiologiia. 1986 Aug;26(8):74-7.
The greater and lesser circulation: hemodynamics and external respiratory function were repeatedly examined in the course of treatment in 90 patients with atherosclerotic cardiosclerosis and circulatory insufficiency, stages I-IIB. In heart failure, hemodynamic shifts were earlier and more pronounced in the lesser circulation, as compared to the greater circulation. Respiratory insufficiency also preceded hemodynamic shifts in the greater circulation and was more pronounced in patients with pulmonary hypertension. In the course of treatment, these patients showed a more significant blood pressure fall in the pulmonary artery and progressively diminishing manifestations of respiratory insufficiency.
对90例I-IIB期动脉粥样硬化性心肌病伴循环功能不全患者在治疗过程中反复检查了血流动力学和外呼吸功能。在心力衰竭时,与大循环相比,小循环中的血流动力学变化更早且更明显。呼吸功能不全也先于大循环中的血流动力学变化,并且在肺动脉高压患者中更明显。在治疗过程中,这些患者的肺动脉血压下降更显著,呼吸功能不全的表现逐渐减轻。