Hemodynamic disorders in isolated craniocerebral injuries and craniocerebral injuries associated with injuries of the musculoskeletal system
Virozub, I.D.; Kalinkin, O.G.; Tantsiura, V.P.
Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko 1: 24-28
1985
ISSN/ISBN: 0042-8817 PMID: 3984618 Document Number: 257855
Hemodynamic disorders were studied in 60 patients with isolated craniocerebral injury and in 145 patients with craniocerebral injury and injury to the locomotor apparatus. The authors studied the changes in the mean dynamic arterial pressure, the cardiac contraction rate, the cardiac output, the general peripheral vascular resistance to blood flow, and the circulation volume. It was found that in isolated craniocerebral injury the circulation volume deficiency does not exceed 13%, the mean dynamic arterial pressure and the cardiac output increase. In cases of craniocerebral injury combined with injury to the locomotor apparatus the required level of the mean dynamic arterial pressure is maintained by a higher cardiac output and an increase in the general peripheral vascular resistance to the blood flow. The changes in hemodynamic indices including the circulating volume deficiency depend on the degree of injury to the locomotor apparatus and of craniocerebral injury.