Ishchenko M M, Korol'kov O S
Lik Sprava. 1998 Aug(6):120-4.
Of the 40 patients, stenoses of major brain arteries were identified in 34, occlusions in 6, affection of two arteries in eleven patients, that of three arteries in 3 patients. The following disturbances in central hemodynamics were detected: arterial pressure getting higher, this referring also to the peripheral vascular resistance, hematocrit value, with the bloodflow in the arm-ear portion slowing down, hemodynamics being predominantly of hyperkinetic type. Treatment with cavinton, cavinton plus corglucone resulted in improvement of bloodflow in the affected major brain arteries at the expense of a compensating redistribution of bloodflow from intact collectors to the stenosed arteries basin. Changes in central hemodynamics were manifested by increase in the number of cases presenting with eukinetic-type circulation at the expense of decrease in those of hyperkinetic type. Under hypokinetic type hemodynamics, it is advisable that cavinton be prescribed in combination with cardiac glycosides.
在40例患者中,34例发现主要脑动脉狭窄,6例发现闭塞,11例累及两条动脉,3例累及三条动脉。检测到以下中枢血流动力学紊乱:动脉压升高,这也涉及外周血管阻力、血细胞比容值,臂-耳部血流减慢,血流动力学主要为高动力型。使用卡维地洛、卡维地洛加考格鲁康治疗后,受累主要脑动脉的血流得到改善,这是以血流从完整的供血血管向狭窄动脉区域进行代偿性重新分布为代价的。中枢血流动力学的变化表现为等动力型循环病例数增加,高动力型病例数减少。在低动力型血流动力学情况下,建议将卡维地洛与强心苷联合使用。