73例脑梗死急性期TCD和EEG分析

Abnormal transcranial Doppler and electroencephalogram in patients with acute cerebral infarction

目的 了解脑梗死患者急性期脑血流动力学和脑功能变化及其临床意义。方法 观察和随访73例脑梗死患者急性期的经颅多普勒 (TCD)和脑电图 (EEG)变化,分析其与预后的关系。结果 脑梗死急性期患者存在脑动脉狭窄或闭塞、供血不足或过度灌注等脑血流动力学变化,不同形式的脑血流动力学变化提示不同的处理方法;脑梗死急性期患者存在不同程度的EEG变化,EEG异常程度越重,预后越差。结论 脑梗死急性期存在不同程度脑血流动力学和脑功能变化,脑梗死患者应尽早进行TCD和EEG检查,以指导治疗和预后判断。

Objective To assess the effect of cerebral infarction on intracranial hemodynamics and cerebral function.Methods Transcranial Doppler(TCD)and electroencephalogram(EEG)recordings were measured and analysed in 73 patients with cerebral infarction in the acute phase.Results In patients with cerebral infarction, TCD was abnormal obviously, EEG was also abnormal obviously, the severity of EEG abnormality was correlated with their prognosis.Conclusion The effects of cerebral infarction on intracranial hemodynamics and cerebral function are obviously,TCD and EEG measure in patients with cerebral infarction in the acute phase are conducive to treatment of cerebral infarction.