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[动脉高血压患者的循环性脑病]

[Circulatory encephalopathy in patients with arterial hypertension].

作者信息

Karlov V A, Kulikov Iu A, Il'ina N L, Grabovskaia N V

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1997;97(5):15-7.

PMID:9245151
Abstract

More accurate definition of the leading factors of development of discirculatory encephalopathy (DE) in patients with arterial hypertension was the aim of this investigation. The analysis of correlations between clinical and computer tomographical symptoms of DE on the one hand and the indices of central hemodynamics, head blood circulation and presence of atherosclerosis of head arteria on the other hand was performed. It was found that congestion in head venous system was the main factor in DE development. The conclusion was made that both atherosclerosis of head arteria and arterial hypertension promoted venous congestion in head by means of decreasing the amplitude of arterial pulsation and in turn the development of DE. Meanwhile, the increase of minute blood flow prevents it.

摘要

更准确地定义动脉高血压患者循环障碍性脑病(DE)发展的主要因素是本研究的目的。一方面对DE的临床和计算机断层扫描症状与另一方面的中心血流动力学指标、头部血液循环以及头部动脉粥样硬化的存在之间的相关性进行了分析。发现头部静脉系统充血是DE发展的主要因素。得出的结论是,头部动脉粥样硬化和动脉高血压均通过降低动脉搏动幅度进而促进DE的发展,从而导致头部静脉充血。与此同时,每分钟血流量的增加可预防这种情况。

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