[State of central hemodynamics in traumatic disease]

The state of central hemodynamics was determined by the method of integral rheography of the body in 389 patients with severe combined traumas admitted to the clinic of field surgery of the Medical Military Academy. Under study was the dependence of the main indices of hemodynamics on severity of the state and character of the trauma. Changes to the parameters of hemodynamics in patients with sharply pronounced insufficiency of circulation were studied. It was shown that one of its mechanisms was an impairment of intrasystemic relationships between the minute volume and the forming indices: stroke output, heart rate, work of the left ventricle. The decisive rule was developed for the diagnosis of a small cardiac output.