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[循环衰竭不同阶段微循环床状态的综合研究]

[Complex study of the state of the microcirculatory bed at different stages of circulatory failure].

作者信息

Zhumambaeva R M, Almazov I I, Lobova N M, Kostiukhina N A

出版信息

Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1982;5(2):68-72.

PMID:7138658
Abstract

The state of microcirculation was studied on 103 patients with the 1st-3rd degree of circulatory failure due to post-myocardial infarction cardiosclerosis and rheumatic valvular heart disease. The dynamics of the local blood flow in the skin of the left forearm (by the H-clearance method) as well as platelet aggregation ability were studied, conjunctival biomicroscopy and T-V capillaroscopy were performed. Already at early stages, patients with circulatory failure were observed to have changes in the microcirculation accompanied by a decrease in the volume velocity of the tissue (capillary) blood flow. As the circulatory failure developed, the aggravation of morphofunctional disturbances was accompanied by a significant retardation both of linear and volume velocity of the capillary blood flow as well as by an increase in aggregation properties of platelets.

摘要

对103例因心肌梗死后心硬化和风湿性瓣膜性心脏病导致I - III度循环衰竭的患者的微循环状态进行了研究。研究了左前臂皮肤局部血流动力学(采用H清除法)以及血小板聚集能力,进行了结膜生物显微镜检查和T-V毛细血管镜检查。在早期阶段就观察到,循环衰竭患者存在微循环变化,伴有组织(毛细血管)血流容积速度降低。随着循环衰竭的发展,形态功能障碍的加重伴随着毛细血管血流线性速度和容积速度的显著减慢以及血小板聚集特性的增加。

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