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[伴有和不伴有高血压的缺血性心脏病患者结膜血管的循环动力学]

[Circulatory dynamics in the conjunctival vessels in ischemic heart disease with and without hypertension].

作者信息

Chernukh A M, Aleksandrov P N, Klets R L, Shagal D I

出版信息

Kardiologiia. 1977 May;17(5):14-8.

PMID:886739
Abstract

The circulatory dynamics was studied in the conjunctival vessels of 45 patients with ischaemic heart disease without hypertension (12 patients with myocardial infarction including) and in 24 patients with ischaemic heart disease and hypertension. The method of biomicroscopy of the conjunctiva permits to examine the shape of the microvessels, the vascular background and the density of the pattern, as well as the nature of the blood flow. The patients with ischaemic heart disease without hypertension had more distinct changes, in some cases -- with irreversible discontinuity of the flow (aggregation of the erythrocytes in myocardial infarction). In ischaemic heart disease with hypertension the flow in the venules restores completely by the end of therapy. Reversible changes in the microcirculation were demonstrated in cases of a good effect of therapy, as well as the possibilities of timely diagnosis of complications in repeated examinations of the conjunctival vessels.

摘要

对45例无高血压的缺血性心脏病患者(包括12例心肌梗死患者)以及24例合并高血压的缺血性心脏病患者的结膜血管循环动力学进行了研究。结膜生物显微镜检查法可用于检查微血管的形态、血管背景、图案密度以及血流性质。无高血压的缺血性心脏病患者有更明显的变化,在某些情况下——血流出现不可逆中断(心肌梗死时红细胞聚集)。合并高血压的缺血性心脏病患者在治疗结束时小静脉血流完全恢复。治疗效果良好的病例显示出微循环的可逆性变化,以及在重复检查结膜血管时及时诊断并发症的可能性。

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