期刊文献+

用MRI弥散成像及灌注成像对早期脑梗死患者进行诊断的效果研究 被引量:3

下载PDF
导出
摘要 目的 :探讨用MRI弥散成像及灌注成像对早期脑梗死患者进行诊断的临床效果。方法 :对2010年以来我院收治的75例具有早期脑梗死症状及体征的患者的临床资料进行回顾性研究。对这75例患者均使用头部MRI弥散成像及灌注成像检查进行诊断。然后,观察这些患者的诊断结果。结果 :这75例患者进行头部MRI弥散成像及灌注成像检查的结果显示,有63例患者存在脑梗死。在这63例存在脑梗死的患者中,有9例患者为单发性脑梗死,有54例患者为多发性脑梗死。这些患者的病灶最小的为0.3cm,最大的为整个大脑半球。这些患者病灶的位置为基底节、放射冠、半卵圆中心、额颞顶叶、脑干、小脑。后经CT等综合检查证实,上述结果完全准确。用MRI对早期脑梗死患者进行诊断的准确率为100%。结论 :用MRI弥散成像及灌注成像检查对早期脑梗死患者进行诊断的准确率高。此诊断方法值得在临床上推广使用。
作者 马冲
出处 《当代医药论丛》 2015年第3期45-46,共2页
  • 相关文献

参考文献3

  • 1Kim E Y,Ryoo J W,Roh H G,Lee K H,Kim S S,Song I C,Chang K-H,Na D G.Reversed discrepancy between CT and diffusion-weighted MR imaging in acute ischemic stroke. AJNR. American journal of neuroradiology . 2006
  • 2C S. Rivers,J M. Wardlaw,P A. Armitage,M E. Bastin,T K. Carpenter,V Cvoro,P J. Hand,M S. Dennis.Do Acute Diffusion- and Perfusion-Weighted MRI Lesions Identify Final Infarct Volume in Ischemic Stroke?[J]. Stroke . 2006 (1)
  • 3马丽丽,王兆钺.急性缺血性卒中的溶栓治疗[J].国外医学(脑血管疾病分册),2005,13(3):190-193. 被引量:2

二级参考文献24

  • 1The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med, 1995, 333:1581 - 1587.
  • 2Barber PA, Darby DG, Desmond PM, et al. Prediction of stroke outcome with echoplanar perfusion-and diffusion-weighted MRI. Neurology, 1998, 51: 418 -426.
  • 3Butcher K, Parsons M, Baird T, et al. Perfusion thresholds in acute stroke thrombolysis. Stroke, 2003, 34:2159 -2164.
  • 4Kaufmann AM, Firlik AD, Fukui MB, et al. Ischemic core and penumbra in human stroke. Stroke, 1999, 30:93 -99.
  • 5Klotz E, Konig M. Perfusion measurements of the brain: Using dynamic CT for the quantitative assessment of cerebral ischemia in acute stroke. Eur J Radiol, 1999, 30:170 - 184.
  • 6Adams HP Jr, Adams RJ, Brott T, et al. Guidelines for the early management of patients with ischemic stroke: A scientific statement from the Stroke Council of the American Stroke Association.Stroke, 2003, 34:1056 - 1083.
  • 7Koennecke HC, Nohr R, Leistner S, et al. Intravenous tPA for ischemic stroke team. performance over time, safety, and efficacy in a single-center, 2-year experience. Stroke. 2001 May;32 (5): 1074 -1078.
  • 8Cornu C, Boutitie F, Candelise L, et al. Streptokinase in acute ischemic stroke: an individual patient data meta-analysis: The Thrombolysis in Acute Stroke Pooling Project. Stroke, 2000, 31: 1555 - 1560.
  • 9del Zoppo GJ, Higashida RT, Furlan AJ, et al. PROACT: a phase Ⅱrandomized trial of recombinant pro-urokinase by direct arterial delivery in acute middle cerebral artery stroke. PROACT Investigators.Prolyse in Acute Cerebral Thromboembolism. Stroke, 1998, 29: 4-11.
  • 10Steiner T, Bluhmki E, Kaste M, et al. The ECASS 3-hour cohort.Secondary analysis of ECASS data by time stratification. ECASS Study Group. European Cooperative Acute Stroke Study. Cerebrovasc Dis, 1998, 8:198 -203.

共引文献1

同被引文献7

引证文献3

二级引证文献4

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部