Il'nyts'kyĭ R I, Sakharchuk I I
Lik Sprava. 1997 May-Jun(3):76-80.
Overall ninety patients with chronic obstructive bronchitis presenting with signs of varying degree cardiopulmonary insufficiency (CPI) were evaluated by radionuclide ventriculography with technetium pertechnetate as well as by rotational viscosimetry of blood. The degree of hemorheological derangements tended to get higher with CPI severity (light, moderately severe, severe) being accompanied by progressing impairement of systolic and diastolic functions of both ventricles of the heart. Mechanisms of compensation of endocardiac hemodynamics were realized as a result of increase in end-diastolic and end-systolic volumes of both ventricles together with changes in amplitude and time characteristics of processes of ventricular ejection and filling. Forecast of the probable course of the condition may rely upon the functional state of right as well as left ventricle of the heart.
总共90例患有慢性阻塞性支气管炎且伴有不同程度心肺功能不全（CPI）体征的患者，通过使用高锝酸盐的放射性核素心室造影以及血液旋转粘度测定法进行了评估。随着CPI严重程度（轻度、中度严重、重度）的增加，血液流变学紊乱程度趋于升高，同时心脏两个心室的收缩和舒张功能也逐渐受损。心内膜血流动力学的代偿机制是通过两个心室舒张末期和收缩末期容积的增加以及心室射血和充盈过程的幅度和时间特征的变化来实现的。病情可能的发展过程预测可依赖于心脏右心室和左心室的功能状态。
