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[卡维地洛对慢性脑循环不全患者全身及脑血流动力学的影响]

[Effect of cavinton on systemic and cerebral hemodynamics of patients with chronic cerebral circulatory insufficiency].

作者信息

Ishchenko M M, Shkrobot S I

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(9):1338-42.

PMID:4072532
Abstract

The effect of cavinton on the systemic (by the method of diluting Evans blue according to Stewart-Hamilton) and cerebral (by the method of rheoencephalography) hemodynamics was examined in 38 patients with chronic insufficiency of the cerebral circulation (CICC) in the presence of either atherosclerosis alone (n = 22) and its combination with arterial hypertension (n = 16). Cavinton decreased the peripheral vascular resistance and the tone of the small and median vessels of the brain, increased the cardiac output and improved the rheological properties of the blood (it lowered the globular volume, viscosity and hematocrit). The best results were attained with the parenteral administration of the drug. Indications for and contraindications to cavinton in patients with CICC are discussed.

摘要

对38例慢性脑循环供血不足(CICC)患者进行了研究,观察卡维地洛对全身(采用斯图尔特 - 汉密尔顿法稀释伊文思蓝)和脑(采用脑血流图法)血流动力学的影响。这些患者中,单纯患有动脉粥样硬化的有22例,合并动脉高血压的有16例。卡维地洛降低了外周血管阻力和脑中小血管的张力,增加了心输出量,并改善了血液的流变学特性(降低了红细胞压积、粘度和血细胞比容)。药物经肠胃外给药取得了最佳效果。文中还讨论了CICC患者使用卡维地洛的适应症和禁忌症。

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