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经颅多普勒超声对颅内压增高的诊断价值

Diagnostic Value of Transcranial Doppler Sonography for Increased Intracranial Pressure

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【作者】 赵振宇张玉珍纪淑芹李守村袁峰

【Author】 Zhao Zhenyu; Zhang Yuzhen;Ji Shuqin; et al(Department of Neurology, Yishui Central Hospital, Shandong 276400)

【机构】 山东省沂水中心医院神经内科

【摘要】 对26例颅内压增高患者和32名正常人的经颅多普勒进行分析,结果表明患者多普勒频谱均异常,定量指标中以Vs2/Vs1比值、PI、RI最敏感,以Vd、Vm及Vs2次之,随着颅内压增高Vs1亦减慢。文中初步讨论了颅内压增高患者的TCD改变机理,提出了其TCD特征,指出TCD是诊断颅内压增高较理想的方法。

【Abstract】 Twenty-six cases of increased intracranial pressure and thirty-two healthy individuals were examined by transcranial dappler(TCD). The results showed that all patients were abnormal in blood flow velocity and blood flow waveform. Among the quantit ative indexes Vs2/Vs1, PI and RI were most sensitive, Vd, Vin and Vs2 took second place, and with the increase of intracranial pressure Vs1 decelerated. The mechanism of changes of cerebral hemodynamics in patients with increased intracranial pressure was discussed preliminarily. The feature of TCD findings in patients was described. Our study provided an ideal method for the clinical diagnosis.

  • 【文献出处】 中华超声影像学杂志 ,CHINESE JOURNAL OF UITRASONOGRAPHY , 编辑部邮箱 ,1995年05期
  • 【分类号】R445.1
  • 【被引频次】16
  • 【下载频次】84
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