[Dysfunctions of respiration and blood circulation in patients with concomitant tuberculosis of the spinal column and lungs].

Functional disorders in the respiratory apparatus and blood circulation were studied in 76 patients with tuberculosis of the spinal column concomitant with pulmonary tuberculosis. Spirography, pneumotachography, elctrocardiography, integral rheography and the method variability of cardiac rate were made use of in the diagnostics of the mentioned disorders. Combined tuberculosis of the spinal column and lungs was found to be accompanied, in case of an active pulmonary process, by instable hemodynamic indices, a reduced contractive myocardium function, an insufficient hemodynamic provision and an increased tension in the respiratory system (impaired ventilation and bronchial patency). Simultaneously, a significant vegetative imbalance with an extremely pronounced hypersympathicotonia and over-tension of the adaptation mechanisms in an active pulmonary process, were registered. The detected dysfunctions need to be corrected due to a forthcoming surgical treatment of tuberculous spondylitis.