颈动脉硬化性狭窄致脑缺血的诊治

作者报道了１９例因颈动脉硬化性狭窄病变（狭窄超过７０％）致脑缺血患者，经彩超或磁共振血管影、数控减影血管造影明确诊断，其中３例成功地作了颈动脉内膜切除术，疏通了颈内动脉；有６例因远端颈内动脉完全性阻塞，不能行手术治疗；其它１０例因年迈合并其它严重疾病、医疗费用困难或对接受手术有顾虑等原因暂未接受手术。作者指出：对脑缺血患者（包括短暂性脑缺血和脑梗塞）应作颈动脉的超声检查或造影检查，如 发现局限性的

DIAGNOSIS AND TREATMENT FOR CEREBRAL ISCHEMIAINDUCED BY CAROTID SCLEROSING STENOSIS

The author reported 19 cases of cerebral ischemia induced by carotid sclerosing stenosis. All these cases were diagnosedsuccessfully by color ultrasound, magnetic resonance biography (MRA) or DSA. Three cases were performed carotid endarterectomysuccessfully. Six cases couldn't get operative treatment because of the complete blocking of distal internal carotid. The other 10cases didn't receive operative treatment provisionally because of the complicatod diseases occurred in senile patients, the shortageof expense, scrupulosity for the operation or other reasons. The author considers that the carotid ultrasound or angiography shouldbe performed for the patients of cerebral ischemia including short-term cerebral ischemia and cerebral infarction. Localized severecarotid stenosis (more than 70%) can be treated by carotid endarterectomy to improve cerebral blood supply. Carotid nip test undercervix plex anaesthesia during operation contribute to make the operation safer.