Virozub I D, Kalinkin O G, Tantsiura V P
Zh Vopr Neirokhir Im N N Burdenko. 1985 Jan-Feb(1):24-8.
Hemodynamic disorders were studied in 60 patients with isolated craniocerebral injury and in 145 patients with craniocerebral injury and injury to the locomotor apparatus. The authors studied the changes in the mean dynamic arterial pressure, the cardiac contraction rate, the cardiac output, the general peripheral vascular resistance to blood flow, and the circulation volume. It was found that in isolated craniocerebral injury the circulation volume deficiency does not exceed 13%, the mean dynamic arterial pressure and the cardiac output increase. In cases of craniocerebral injury combined with injury to the locomotor apparatus the required level of the mean dynamic arterial pressure is maintained by a higher cardiac output and an increase in the general peripheral vascular resistance to the blood flow. The changes in hemodynamic indices including the circulating volume deficiency depend on the degree of injury to the locomotor apparatus and of craniocerebral injury.
对60例单纯颅脑损伤患者和145例颅脑损伤合并运动器官损伤患者的血流动力学紊乱情况进行了研究。作者研究了平均动脉压、心率、心输出量、外周血管总血流阻力和循环血量的变化。结果发现，单纯颅脑损伤时循环血量不足不超过13%，平均动脉压和心输出量增加。在颅脑损伤合并运动器官损伤的病例中，通过较高的心输出量和外周血管总血流阻力的增加来维持所需的平均动脉压水平。包括循环血量不足在内的血流动力学指标的变化取决于运动器官损伤和颅脑损伤的程度。
