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[高压氧疗在慢性缺血性心脏病综合治疗中的应用]

[Hyperbaric oxygenation in the overall therapy of chronic ischemic heart disease].

作者信息

Smetnev A S, Efuni S N, Rodionov V V, Ashurova L D, Aslibekian I S

出版信息

Kardiologiia. 1979 Nov;19(11):41-6.

PMID:513459
Abstract

Seventy-seven patients with chronic ischemic heart disease were treated in single-seater oxygen hyperbaric chambers; 52 patients had angina pectoris of effort or angina of effort and at rest while 25 patients with macrofocal postinfarction cardiosclerosis had insufficiency of pulmonary or systemic circulation. Treatment consisted of 12--15 procedures. The use of hyperbaric oxygenation in a complex with drug therapy makes it possible to alleviate or arrest the attack of angina pectoris and relieve considerably the symptoms of cardiac decompensation. The initial condition of central hemodynamics affects greatly the results of barotherapy. Normal parameters of hemodynamics hardly change after treatment. At the same time, in patients with markedly reduced myocardial contractility hyperbaric oxygenation causes evident positive changes in hemodynamics. The combination of hyperbaric oxygenation with drug therapy improves the effect of treatment significantly.

摘要

77例慢性缺血性心脏病患者在单人高压氧舱中接受治疗;52例患者患有劳力性心绞痛或劳力性及静息性心绞痛,而25例患有大面积心肌梗死后心肌硬化的患者存在肺循环或体循环功能不全。治疗包括12至15次疗程。高压氧疗法与药物治疗相结合能够缓解或终止心绞痛发作,并显著减轻心脏代偿失调的症状。中心血流动力学的初始状况对高压氧治疗效果影响很大。治疗后血流动力学的正常参数几乎没有变化。与此同时,对于心肌收缩力明显降低的患者,高压氧疗法会使血流动力学出现明显的积极变化。高压氧疗法与药物治疗相结合可显著提高治疗效果。

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