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  • Title: [Early prognostic signs of disorders of the regional pulmonary circulation in the dynamics of hemorrhagic shock and in the post-resuscitation period].
    Author: Kirsanova AK, Novoderzhkina IS, Kozhura VL, Berezina TL, Dvoretskiĭ SV.
    Journal: Anesteziol Reanimatol; 1992; (5-6):33-6. PubMed ID: 1492676.
    Abstract:
    The earliest significant unfavourable signs of shock are as follows: an increase in total pulmonary resistance, reduced pulmonary blood flow and tachypnea. Ventilation-perfusion disturbances in the lungs precede the onset of circulation decompensation, which in the pulmonary flow manifests as enhanced pulmonary blood content and elevated pressure in the pulmonary artery. Pulmonary flow damage in the early postresuscitation period is to a great extent predetermined by the degree of circulation disturbances in the lungs, developing during hypotension period, the leading among them being congestive processes in the lungs (increased blood content, hypertension) which progressed in case of unfavourable outcome of resuscitation and reduction of the microvascular bed.
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