Rammal' A. „Nitroglycerin" and „Anapriline" in complex treatment and preventive maintenance of bleedings from oesophageal and stomach varices in liver cirrhosis patients

The expediency of usage of complex medicament therapy („Nitroglycerin", „Anapriline") with a tamponade by the Blakemore balloon or endoscopic sclerotherapy is rotined at bleedings from oesophageal and stomach varices in liver cirrhosis patients (LCP). Is established, that between phylums of a central hemodynamics, which one are characteristic for LCP, the reduction function of the myocardium is saved only at hyperkinetic, nornokinetic phylum is characterised by phenomena of a latent heart failure, hypokinetic - manifestative tags of a heart failure. Is detected, that at the LCP breathes communication between parameters of a system hemodynamics and portohepatal blood circulation. The decrease of a cardiac index is accompanied by reduction of value of parameters of portohepatal blood circulation. The implementation of varices of an oesophagus on a background of medicament correction of portal pressure by „Nitroglycerin" or „Anapriline" for 84 % of cases promotes a stop of bleeding