التفاصيل البيبلوغرافية
| العنوان: |
Assessment of hemodynamic parameters of hepatic and visceral blood flow in decompensated liver cirrhosis ; Оценка гемодинамических параметров печеночного и висцерального кровотока при декомпенсации цирроза печени ; Оцінювання гемодинамічних параметрів печінкового та вісцерального кровотоку при декомпенсації цирозу печінки |
| المؤلفون: |
Тугушев, А. С., Черковська, О. С., Міхантьєв, Д. І. |
| المصدر: |
Zaporozhye мedical journal; Vol. 23 No. 3 (2021); 363-369 ; Запорожский медицинский журнал; Том 23 № 3 (2021); 363-369 ; Запорізький медичний журнал; Том 23 № 3 (2021); 363-369 ; 2310-1210 ; 2306-4145 |
| بيانات النشر: |
Zaporizhzhia State Medical and Pharmaceutical University |
| سنة النشر: |
2021 |
| المجموعة: |
Scientific Periodicals of Ukraine (Ukrainian Research and Academic Network) / Наукова періодика України |
| مصطلحات موضوعية: |
цирроз печени, печеночный кровоток, висцеральный кровоток, ультразвуковое сканирование, допплерография, ангиография, сцинтиграфия, цироз печінки, печінковий кровотік, вісцеральний кровотік, ультразвукове сканування, доплерографія, ангіографія, сцинтіграфія, liver cirrhosis, blood flow, ultrasound scanning, doppler ultrasonography, angiography, scintigraphy |
| الوصف: |
The aim. To assess the hemodynamic parameters of the hepatic and visceral blood flow in patients with compensated and decompensated liver cirrhosis. Materials and methods. 290 patients with liver cirrhosis were examined: 206 had gastrointestinal bleeding, 84 had diuretic-resistant ascites. Ultrasonic scanning, Doppler sonography, esophagogastroduodenoscopy, angiography, radioisotope scintigraphy were performed to assess blood flow in the portal, splenic and superior mesenteric veins and in the hepatic, splenic and superior mesenteric arteries. Results. Change in the hepatic microcirculatory blood flow in the natural course of liver cirrhosis was characterized by decreased portal and increased arterial blood flow, “arterialization” of hepatic blood flow based on scintigraphy. Decompensation of the disease was associated with progressive reduction in both portal and arterial hepatic blood flow, which were correlated with the severity of functional liver disorders regardless of the complication nature. The portal blood flow in the natural course of liver cirrhosis was characterized by 3.5–4.5 times increased volume of visceral blood. Decompensation of the disease was accompanied by a decrease in blood flow in the portal vein as compared to the splenic and superior mesenteric veins by 1.8–2.2 and 1.5–2.7 times, respectively. Arterial blood flow in the natural course of liver cirrhosis was characterized by a relatively increased hepatic arterial flow. The ultrasound criterion of hepatic blood flow “arterialization” was an increase in hepatic-splenic arterial index, which can be used as a sign to differentiate between different forms of portal hypertension. Decompensation of the disease was characterized by an average of 8.2 % decreased arterial blood flow in the hepatic artery compared to the splenic artery in dynamics. Prognostically unfavorable signs were the progression of splenomegaly degree, the increase in the portal vein diameter with the decreased velocity characterizing the increase in congestive index by ... |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
Russian |
| العلاقة: |
http://zmj.zsmu.edu.ua/article/view/224265/232312Test; http://zmj.zsmu.edu.ua/article/view/224265Test |
| الإتاحة: |
http://zmj.zsmu.edu.ua/article/view/224265Test |
| حقوق: |
Авторське право (c) 2021 Запорожский медицинский журнал |
| رقم الانضمام: |
edsbas.E08116A9 |
| قاعدة البيانات: |
BASE |
