Orlov S N, Zarubina T V, Zhitareva I V, Iakovleva E G
Anesteziol Reanimatol. 1993 Mar-Apr(2):21-4.
Basic central and regional hemodynamic parameters have been studied using a computer monitoring system in 57 patients with acute abdominal surgical diseases during special extracorporeal procedures. Indications for regional assisted circulation (RAC) as well as regularities in hemodynamic changes during and after procedures have been established. The data of monitoring have shown that RAC and RAC in combination with hemosorption have in most cases a marked favourable effect on abdominal hemodynamics: mesenteric and portal blood flow is increased and consequently total hepatic flow is activated. The flow of portal blood leads to an increase in central venous pressure. Unfavourable tendencies have been established in changes of central hemodynamics during the procedures. They are: calculated intervals of the rates of central venous pressure increment and cardiac output decrement. This made it possible to optimize the use of extracorporeal procedures in patients with such diseases.
利用计算机监测系统，对57例急性腹部外科疾病患者在特殊体外循环手术过程中的基本中心和区域血流动力学参数进行了研究。确定了区域辅助循环（RAC）的适应症以及手术过程中和术后血流动力学变化的规律。监测数据表明，RAC以及RAC联合血液吸附在大多数情况下对腹部血流动力学有显著的有利影响：肠系膜和门静脉血流量增加，从而激活了总的肝血流量。门静脉血流增加导致中心静脉压升高。手术过程中中心血流动力学变化出现了不利趋势。这些趋势包括：计算得出的中心静脉压升高率和心输出量降低率的时间间隔。这使得优化此类疾病患者体外循环手术的使用成为可能。
