| 彩色多普勒超声对锁骨下动脉窃血综合征的诊断价值 |
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| 引用本文： | 薛卫军,赵夏夏,王银,卢卫华. 彩色多普勒超声对锁骨下动脉窃血综合征的诊断价值[J]. 西北国防医学杂志, 2012, 33(1): 18-19 |
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| 作者姓名： | 薛卫军 赵夏夏 王银 卢卫华 |
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| 作者单位： | 1. 解放军第一医院特诊科,甘肃兰州,730030
2. 解放军451医院 |
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| 摘 要： | 目的:评价彩色多普勒超声对锁骨下动脉窃血综合征(SSS)的诊断价值,并对SSS的流行病学状况进行初步研究。方法:对5 362例接受颈动脉彩色多普勒超声检查的患者进行双上肢血压检测,对收缩压差(PD)>20 mmHg的患肢进行详细研究。结果:254例PD>20 mmHg。完全窃血121例、部分窃血86例,无窃血47例。207例诊断为SSS,43例有明显症状,其中后脑循环症状36例,心肌缺血4例,上肢缺血3例。PD值越大,症状越明显。结论:彩色多普勒超声对诊断SSS具有便捷、无创、重复性好等特点,是SSS的首选诊断方法。
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| 关 键 词： | 超声波诊断 锁骨下动脉窃血综合征 价值 |
Diagnosis of subclavian steal syndrome by color Doppler ultrasound |
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| Affiliation: | XUE Wei-jun,ZHAO Xia-xia,WANG Yin,et al.(Department of Ultrasound Diagnosis,the First Hospital of PLA,Lanzhou 730030,China) |
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| Abstract: | Objective: To evaluate the diagnostic value of color Doppler ultrasound for subclavian steal syndrome(SSS),and investigate the epidemiology of SSS.Methods: A total of 5 362 patients receiving duplex ultrasound of the carotid arteries underwent bilateral arm pressure measurements.Those with pressure difference(PD) higher than 20 mmHg were further examined.Results: The PD was higher than 20 mmHg in 254 patients.The SSS was complete in 121 patients,partial in 86,and absent in 47.Of the 207 SSS patients,43 had obvious symptoms,including the symptoms of posterior circulation in 36,cardiac ischemia in 4,and arm ischemia in 3.The more PD value,the more obvious symptoms occurred.Conclusion: Color Doppler ultrasound is convenient,noninvasive and can be used repeatedly for diagnosis of SSS,which should be taken as the preferred diagnostic tool for SSS. |
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| Keywords: | Ultrasonic diagnosis Subclavian steal syndrome Diagnosis |
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