[Transfusion therapy as a method of correcting peripheral microcirculatory disorders in severe cranio-cerebral trauma].

Photoplethysmographic and capillaroscopic studies of peripheral microcirculation conducted in patients with severe craniocerebral injuries during the acute period revealed some regularities of its changes depending on the type of the transfusion medium. While transfusions of glucose-novocain mixtures and, especially, of low molecular weight dextrans increase the volume pulse and improve the capillary flow in patients with supratentorial pathology, and blood and plasma transfusions reduce the volume pulse and enhance the capillary disorders, patients with brain stem insufficiency display a reverse pattern--a reduction of the volume pulse following transfusions of low molecular weight dextrans, and its increase following blood transfusions. An optimum regimen of infusion-transfusion, therapy and correction of microcirculatory disorders was worked out.