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脑梗死患者颈动脉彩色多普勒超声研究
引用本文:余昌明,易兴阳.脑梗死患者颈动脉彩色多普勒超声研究[J].河北医学,1999,5(7):9-12.
作者姓名:余昌明  易兴阳
作者单位:浙江省瑞安市人民医院
摘    要:目的 探讨颈动脉粥样硬化及其危险因素与不同类型的脑梗死间的关系。方法:根据头颅CT或MRI结果将188例脑梗死患者分成四个亚组:皮层梗死组(CI),皮层下梗死组(SCI),椎-基底动脉支配区梗死组(VBAI)及心源性脑栓塞组(CEI),用彩色多勒超声(彩超)对各型脑梗死患者颅外颈动脉粥样硬化严重程度进行评估,并对可能危险因素进行探讨。结果 30%的CI组患者,10%CEI患者,6.9%VBAI患者

关 键 词:动脉粥样硬化  颈动脉  脑梗死  彩超  诊断

THESTUDYOFCAROTIDBYDOPPLERULTRASON GRAPHYINPATIENTSWITHCEREBRALINFARCTION
YuChangming,YiXingyang,PanGuangqiang,etal.THESTUDYOFCAROTIDBYDOPPLERULTRASON GRAPHYINPATIENTSWITHCEREBRALINFARCTION[J].Hebei Medicine,1999,5(7):9-12.
Authors:YuChangming  YiXingyang  PanGuangqiang  etal
Abstract:Objective:,5BZToinvestigatetherelatingcarotidatherosclerosisandriskfactorstovarioustypesofcerebralinfarction. Methods: Basedonbraincomputedtomography(CT)ormagneticresonanceimaging(MRI),188patientswithcerebralinfarctionwereseparatedintofoursubgroupscorticalinfarction(CI),subcorticalinfarction(SCI),vertebrobasiararteryinfarction(VBAI),andcardioembolicinfarction(CEI).Weassessedtheextentandseverityofextracranialcarotidarteryatheroscerosisandriskfactorsindifferenttypesofcerebralinfarctionusingdopplerultrasongraphy. Results: Ourdatarevealedthat30%oftheCIsubgroup,10%oftheCEIsubgroup,6.9%oftheVBAIsubgroupand7.9%ofthdSCIsubgrouppossessedseverecarotidstenosis.TheplaquescorewassignificantlyhigherintheCIsubgroupthanintheothersubgroups.DiabetesmellituswasmorefrequentintheCIsubgroup.Leftventricularhypertrophy(LVH)weremorecommonlyseenintheCEIsubgroup.TheleveloflipoproteinawassignificantlyhigherintheCIsubgroupthanintheothersubgroups.Age,malesex,LVH,diabetes,cholesterol,lipoproteina,insulin/glucoseratiocorrelatethep
Keywords:Atherosclerosis  Carotid artery  Cerebral infarction  Doppler ulrasongraphylaquescores  Conclusions:WT5  5BZTheextentandseverityofextrancranialcarotidatherosclerosisweremoreprominentinpatientswithCIthaninpatientswithothertypesofcerebralinfarction  Inpatientswi  
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