| 经颅多普勒诊断颅内动脉瘤术后脑血管痉挛 |
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| 引用本文： | 杨绍峰,赵丛海,刘德华,张金男,李淼.经颅多普勒诊断颅内动脉瘤术后脑血管痉挛[J].中国实验诊断学,2005,9(6):896-898. |
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| 作者姓名： | 杨绍峰 赵丛海 刘德华 张金男 李淼 |
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| 作者单位： | 吉林大学中日联谊医院,神经外科,吉林,长春,130033 |
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| 摘 要： | 目的探讨经颅多普勒检查在颅内动脉瘤术后脑血管痉挛诊断中的价值。方法采用临床病例分析统计方法,归纳、分析颅内动脉瘤术后患者的经颅多普勒检查资料。结果33例患者中,有15例在术后出现不同程度的脑血管痉挛症状,比较有、无症状患者MCA和eICA流速变化,发现有症状性血管痉挛的患者,MCA血流速度增加值明显大于无症状组。结论经颅多普勒可以在患者出现临床症状以前,早期发现颅内动脉的血流速度增高,指导临床医生及时调整治疗方案,避免造成严重并发症。
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| 关 键 词： | 颅内动脉瘤 经颅多普勒 脑血管痉挛 |
| 文章编号： | 1007-4287(2005)06-0896-03 |
| 收稿时间： | 12 12 2004 12:00AM |
| 修稿时间： | 2004年12月12 |
Transcranial Doppler in the diagnosis of vasospasm following operation of intracranial aneurysms |
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| YANG Shao-feng, ZHAO Cong-hai, LIU De-hua,et al..Transcranial Doppler in the diagnosis of vasospasm following operation of intracranial aneurysms[J].Chinese Journal of Laboratory Diagnosis,2005,9(6):896-898. |
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| Authors: | YANG Shao-feng ZHAO Cong-hai LIU De-hua |
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| Institution: | Department of Neurosurgery , China-Japan Union Hospital, Jilin Univercity , Changchun 130033, China |
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| Abstract: | Objective To investigate the value of transcranial Doppler in the diagnosis of cerebral arterial vasospasm in the postoperative course of intracranial aneurysms. Methods The information of TCD was analyzed by clinical statistics methods. Results In 33patients, there are 15 patients have symptomatic vasospasm after operation. And we found in these patients, the TCD velocity of MCA is large day-to-day increases during Days 3-7 after operation. Conclusion TCD can find the increase of velocity in the cerebral artery before symptomatic vasospasm, and helpful to the treatment of the postoperative course of intracranial aneurysms. |
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| Keywords: | intracranial aneurysm transcranial Doppler cerebral vasospasm |
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