Viart P
Am J Clin Nutr. 1978 Jun;31(6):911-26. doi: 10.1093/ajcn/31.6.911.
Several hemodynamic parameters were sequentially determined at rest in 19 African children recovering from marasmic kwashiorkor. Before treatment, the red cell volume averaged 160 ml, the circulation time: 6.6 sec, the cardiac output: 1.00 liter/min, the stroke volume: 9.7 ml/beat, the systemic vascular resistances: 79 units and the arteriovenous differences in blood oxygen content 5.1 volume %. On the 20th realimentation day, red cell volume averaged 169 ml, the circulation time: 5.8 sec, the cardiac output: 1.38 liter/min, the stroke volume: 11.4 ml/beat, systemic vascular resistances: 62 units and arteriovenous difference: 4.2 volume %. On the 60th realimentation day, red cell volume averaged 208 ml, circulation time: 5.6 sec, cardiac output: 1.53 liter/min, stroke volume: 11.8 ml/beat, systemic vascular resistances: 56 units and arteriovenous differences: 4.1 volume%; both red cell volume and stroke volume were still significantly lower than in the control group. The children recovering from marasmic kwashiorkor showed a rapid transition from a hypocirculatory state into a near normal circulatory state with delayed increase in both red cell volume and stroke volume.
对19名正在从消瘦型夸希奥科病康复的非洲儿童在静息状态下依次测定了几个血流动力学参数。治疗前，红细胞容积平均为160毫升，循环时间为6.6秒，心输出量为1.00升/分钟，每搏输出量为9.7毫升/次搏动，体循环血管阻力为79单位，动静脉血氧含量差为5.1容积%。在再喂养第20天时，红细胞容积平均为169毫升，循环时间为5.8秒，心输出量为1.38升/分钟，每搏输出量为11.4毫升/次搏动，体循环血管阻力为62单位，动静脉血氧含量差为4.2容积%。在再喂养第60天时，红细胞容积平均为208毫升，循环时间为5.6秒，心输出量为1.53升/分钟，每搏输出量为11.8毫升/次搏动，体循环血管阻力为56单位，动静脉血氧含量差为4.1容积%；红细胞容积和每搏输出量仍显著低于对照组。从消瘦型夸希奥科病康复的儿童显示出从低循环状态迅速转变为接近正常循环状态，但红细胞容积和每搏输出量的增加延迟。
