脑梗死患者颈动脉粥样硬化斑块的超声检测

目的：探讨急性脑梗死患者颈动脉粥样硬化的发病情况及其与急性脑梗死的关系。方法：对120例急性脑梗死患者采用美国CE．Logiq-7彩色多普勒超声诊断仪，行颈动脉超声检测，并对其有无动脉粥样斑块及狭窄进行评估和分析。结果：87例患者（72．5％）检出颈动脉粥佯硬化斑块，颈动脉重度狭窄发生率为4．17％。高危因素有高血压（70．8％）、高脂血症（45．8％）、糖尿病（33．3％）。结论：颈动脉粥样硬化与脑梗死有密切的相关性。超声检查能早期发现颈动脉粥样硬化，对有效预防脑梗死的发生有重要意义。急性脑梗死患者普遍有颈动脉粥样斑块的形成，后者足急性脑梗死发病的重要因素之一。

Clinical Study on Sonography of Carotid Artery Atherosclerosis in Patients with Cerebral Infarction

Objective: To discuss the relations between the incidence of carotid artery atherosclerosis of the acute cerebral infarction(ACI) patients and the acute cerebral infarction.Methods: We examed 120 ACI patients on their carotid artery with the American GE.Logiq-7 color Doppler sonography meter,then appraisal and analyze whether there was atherosclerotic plaque and artery stenosis or not.Results: Eighty seven ACI patients turned out to be with atherosclerotic plaque.The rate of severe carotid artery stenosis was 4.17%.Among the high risk factors,the rate of hypertension was 70.8%,hyperlipemia 45.8%,and diabetes 33.3%.Conclusion: There was close relation between the carotid artery atherosclerosis and the cerebral infarction.The sonography can detect the early carotid artery atherosclerosis,and had vital significance to prevent the cerebral infarction effectively.The ACI patients are common with carotid artery atherosclerosis,which is one of the important factors of the acute cerebral infarction.