经食道超声在缺血性卒中疾病中的应用

目的评估主动脉内膜厚度与腔隙性脑梗塞和非腔隙性脑梗塞的关系。方法选取59例缺血性卒中患者，使用食道超声心动图（TEE）这一技术检测梗塞面积的大小。结果主动脉弓内膜厚度与缺血性卒中的种类有关，腔隙性脑梗塞主动脉弓粥样硬化的发生率是46．7％，非腔隙性脑梗塞主动脉弓粥样硬化的发病率为88．6％。结论TEE检查可以清晰的看见主动脉弓内膜厚度及斑块形成情况，对于缺血性卒中病人的病因的诊断可能衍生出新的临床证据，并对未来治疗提供最佳治疗方案。

Application of TEE on the Patients with Ischemic Stroke

Objective To evaluate the relationship between the thickness of aortic intimal and lacunar cerebral infarction and non lacunar cerebral infarction. Methods 59 cases with ischemic stroke were chosen to detect the size of the infarct size by TEE. Results The thickness of aortic intimal is associated with the types of ischemic stroke. The occurrence of lacunar cerebral infarction was 46.7 %. The occurrence of non lacunar cerebral infarction was 88.6%. Conclusion The thickness of aortic intimal and plaque formation could be seen clearly by TEE. It could provide new evidence for the diagnosis and the best treatment for the patients.