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急性期脑梗死152例血管分析 被引量:2

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摘要 目的观察缺血性脑卒中早期血管造影显示的血管狭窄或闭塞的比率和分布。方法选择发病12h以内中度至重度缺血性脑卒中患者,头颅CT排除出血,行全脑血管造影。使用血管直径和血管床灌注评分(TIMI)判断血管狭窄程度。分析受累血管数目、血管狭窄部位以及血管狭窄形态。结果共收集了152例患者,平均58岁,其中男性118例。发病至血管造影时间(500±160)min。头颅CT显示陈旧性梗死灶57例,可疑低密度2例,其余正常。血管造影显示102例患者有血管狭窄或闭塞。50例(33%)血管造影正常。基底动脉受累最为常见。多部位和多血管受累达24例(16%)。结论脑梗死急性期显示大部分患者有肯定的脑血管狭窄或者闭塞。应当根据血管病变程度、部位和同时受累的血管数目选择治疗方法和治疗途径。
出处 《中国老年学杂志》 CAS CSCD 北大核心 2009年第6期730-732,共3页 Chinese Journal of Gerontology
基金 吉林省科技厅基金资助项目(200705104)
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共引文献4

同被引文献25

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