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| 新生儿缺氧缺血性脑病的经颅多普勒动态变化及临床意义 | |
| 引用本文： | 钱云,王强,李雏平,范艳华,杨爱华,郑怀芳,马莉,应续芹. 新生儿缺氧缺血性脑病的经颅多普勒动态变化及临床意义[J]. 现代电生理学杂志, 2003, 10(4): 204-206,209 |
| 作者姓名： | 钱云 王强 李雏平 范艳华 杨爱华 郑怀芳 马莉 应续芹 |
| 作者单位： | 1. 江苏省盐城市第一人民医院神经内科,224001 2. 江苏省盐城市第一人民医院儿科,224001 3. 盐城市慈航医院TCD室 |
| 基金项目： | 江苏省卫生厅医学科技发展基金(编号:200329) |
| 摘 要： | 目的：研究新生儿缺氧缺血性脑病(HIE)的脑血流动力学的动态改变。方法：应用经颅多普勒(TCD)对89例HIE患儿及55例健康新生儿进行动态检查，并结合临床进行分析。结果：健康新生儿的大脑中动脉／颈内动脉流速比值(M／I)在0．9～1．2之间，轻度HIE的M／I在1．2～1．5之间；中重度HIE的M／I一般在1．8以上，其中M／I超过3．6以上者多死亡。结论：M／I与HIE临床有密切相关性，是HIE分度及预后估计的重要指标。 |
| 关 键 词： | 新生儿缺氧缺血性脑病 经颅多普勒超声检查 脑血流动力学 血流速度 |
THE CLINICAL SIGNIFICANCE AND DYNAMIC CHANGE ON TCD OF HIE |
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| QIAN Yun,WANG Qiang,LI Weiping,et al.. THE CLINICAL SIGNIFICANCE AND DYNAMIC CHANGE ON TCD OF HIE[J]. Journal of Modern Electrophysiology, 2003, 10(4): 204-206,209 | |
| Authors: | QIAN Yun WANG Qiang LI Weiping et al. |
| Affiliation: | QIAN Yun,WANG Qiang,LI Weiping,et al. Department of Neurology,The First Hospital of Yancheng,Jiangsu,224001 |
| Abstract: | Objective: To study the dynamic change of cerebral hemodynamics of HIE. Methods: The dynamic change of TCD of 89 cases with HIE and 55 normal newborn infants were examined, and relation between the clinic and dynamic changes of TCD were analysed. Rseults: The MCA/ICA index (M/I) was 0.9 -1.2 in the normal newborn infants group, 1.2 - 1.5 in the light group of HIE, and over 1.8 in the moderate and severe group of HIE, especially in over 3.6, all died. Conclusion: M/I correlate with clinical syndrom of HIE significantly. M/I was of the important value in judge the degree and prognosis of HIE. |
| Keywords: | HIE hemodynamic TCD MCA/ICA index (M/I) |
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