Bessmel'tsev S S, Abdulkadyrov K M
Ter Arkh. 1994;66(11):80-4.
Physical electro- and echocardiographic methods were used to study myocardial function in 70 patients with acute leukemia (AL). 40% of them in the primary active phase had hypokinetic, while 60% hyperkinetic circulation. Leucocytosis and thrombocytopenia proved prognostically unfavorable for myocardium condition. Cardiotoxic rubomycin doses have been established. Pathogenic mechanisms underlying deterioration of myocardial contractility, reduction of stroke volume and rearrangement of central hemodynamics are considered. Administration of riboxin with finoptine promoted normalization of clinical and improvement of echo-CG sings of myocardiopathy in patients given total rubomycin doses 200-450 mg/m2.
采用物理心电图和超声心动图方法研究了70例急性白血病(AL)患者的心肌功能。其中40%处于原发性活动期的患者存在心肌运动减弱,而60%存在心肌运动增强。白细胞增多和血小板减少在预后方面对心肌状况不利。已确定了阿霉素的心脏毒性剂量。研究了心肌收缩力恶化、心搏量减少和中心血流动力学重新调整的致病机制。对于接受总量为200 - 450 mg/m²阿霉素治疗的患者,给予肌苷和芬诺替啶可促进临床症状正常化,并改善心肌病的超声心动图表现。