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60例脑梗塞脑血管造影分析

CEREBRAL ANGIOGRAPHY OF 60 BRAIN INFARCTION CASES
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摘要 脑梗塞(又称缺血性脑卒中)脑血管造影的研究,目前国内外均有报道,但对脑梗塞临床表现与脑血管造影变化的相互关系,各家说法不一。本文就我科1978年1月~1983年5月收治的脑梗塞60例脑血管造影所见,结合临床资料作一分析。 From January, 1978 to May, 1983, 60 cases of brain infarction were admitted to our hospital and examined by cerebral angiography. Among them, 28 were of apoplectic type, 23 advance, and 9 recurrent: For the cerebral angiography, 60%meglumine diatrizoate 20-30ml was injected into the common carotid artery (58 cases) or the femoral artery (2 cases) with 36 positive (40%). Their common characteristics were as follows: (1) The positions of the arterial narrow and occlusion were distal to the siphon part of internal carotid artery and proximal to anterior and middle cerebral artery. (2) Most of collateral circulation were instituted in both the anastomosis between the marginal rami of the pathologically changed vessels and the communication between the collateral rami of internal and external carotid artery. (3) Inconsistent thickness, stiffness and other changes Were found in most arterial occlusions. We believe that early angiography might be beneficial to diagnosis and treatment of the disease.
出处 《武汉大学学报(医学版)》 CAS 1984年第1期33-36,共4页 Medical Journal of Wuhan University

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