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脑动脉瘤破裂出血的多普勒超声研究

Study on the Hemorrhage After Cerebral Aneurymal Rupture by Doppler Ultrasound
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摘要 应用多普勒超声研究13例经脑血管造影证实的脑动脉瘤破裂出血患者脑循环动态改变。10例出现不同程度的血管痉挛,以出血侧大脑中动脉为主,8~14天达高峰,此10例均行手术夹闭动脉瘤,术前1~3天血流速度在84~130cm/s,预后好,余3例表现为严重颅内压升高和脑部低灌注的患者未手术死亡。表明多普勒超声能及时发现血管痉挛并动态观察,同时反映颅内压和脑灌注的变化,对选择手术时机和判断临床预后有重要意义。 The Doppler ultrasound were used to study the serial changes of cerebral circulation in13 patients with hemorrhage after aneurysmal rupture. A marked increase of the now velocity of middlecerebral artery was found in ten patients operated,and eight-fiften days after onset the velocity reachedpeak value of about 200cm/s and then declined.1-3 days before operation the meam flow velocity was84 -130cm/s,there had good progmosis.Increased intrecranial pressure and cerebral bypoperfusionwere observed in three patients by Doppler ultrasound,the died in two weeks. The results indicate thatthe Doppler ulrtasound is a reliable and convenient noninvasive method for monitoring the change ofcerebral vasospasm, intracranial pressure and cerebral blood perfusion, which provides important clinical informations concerning choice of the time of operation and evaluation of clinical prognosis.
出处 《中华超声影像学杂志》 CSCD 1995年第3期106-109,共4页 Chinese Journal of Ultrasonography
关键词 脑动脉瘤 破裂出血 脑肿瘤 超声波诊断 cerebral aneurysm vagogpasm ultrasound Doppler angiography
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  • 1周岱,中华神经外科杂志,1991年,7卷,244页
  • 2周岱,苏州医学院学报,1987年,7卷,262页
  • 3刘承基,脑血管疾病的外科治疗,1987年
  • 4周岱,中华神经外科杂志,1985年,1卷,201页

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