Agzamkhodzhaev T S, Takhirov Sh M, Em M F
Anesteziol Reanimatol. 1996 Nov-Dec(6):27-31.
The reserve potential of children with developmental defects of the large intestine and the anorectal area was assessed from cardiovascular function and its adaptation to the new level (determined from the vegetative tone) and adequacy of tissue perfusion. Forty-three children with the above disease, aged 2 months to 14 years, were examined. Three types of hemodynamic disorders were detected, corresponding to certain states of adaptation mechanisms. The hyperdynamic type corresponded to adequate adaptation, manifesting by moderate activation of the sympathoadrenal system during the first hours postoperation and its normalization during the first 24 hours. Dysadaptation disorders were detected in patients with the initial normodynamic circulation and pathological adaptation in those with the hypodynamic circulation, which was to be corrected both before and after surgery.
从心血管功能及其对新水平的适应情况（由植物神经张力决定）以及组织灌注的充分性来评估患有大肠和肛门直肠区域发育缺陷儿童的储备潜力。对43名年龄在2个月至14岁之间患有上述疾病的儿童进行了检查。检测到三种类型的血液动力学紊乱，分别对应于适应机制的某些状态。高动力型对应于充分适应，表现为术后最初几小时交感肾上腺系统适度激活，并在最初24小时内恢复正常。在初始血液动力学正常的患者中检测到适应不良紊乱，而在低动力循环患者中检测到病理适应，这在手术前后均需纠正。
