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TCD评估动脉瘤性蛛网膜下腔出血后脑血管痉挛

Transcranial Doppler Evaluating Cerebral Vasospasm in Patients with Aneurysmal Subarachnoid Hemorrhage

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【作者】 黄国栋王蕾付友增李维平刘晓玲高永中

【Author】 HUANG Guo-dong1, WANG Lei2, FU You-zeng1, LI Wei-ping1, LIU Xiao-ling1, GAO Yong-zhong1 (1. Department of Neurosurgery, Shenzhen Second People’s Hospital, Guangdong Shenzhen 518035; 2. Radiology Department, Shenzhen Second People’s Hospital, Guangdong Shenzhen 518035)

【机构】 深圳市第二人民医院神经外科深圳市第二人民医院放射科深圳市第二人民医院神经外科 广东深圳518035广东深圳518035

【摘要】 目的探讨动脉瘤性蛛网膜下腔出血(SAH)后脑血管痉挛发生的相关因素和对预后的影响。方法TCD检测28例病人的脑血流动力学变化的情况,并与SAH程度(Fisher分级)、发生时间和预后进行比较分析。结果脑血管痉挛明显受SAH程度、发生时间影响(P<0.05),并可明显影响病人预后(P<0.05)。结论TCD脑血流检测在动脉瘤性蛛网膜下腔出血的脑血管痉挛程度评估和预后判定方面具有重要意义。

【Abstract】 Objective To explore correlation factor and influencing prognosis on cerebral vasospasm in patients with aneurysmal subarachnoid hemorrhage. Methods Transcranial Doppler (TCD) detecting cerebral hemodynamic state in 28 patients with aneurismal subarachnoid hemorrhage, and compare with Fisher grades, occurrence time and prognosis. Results Cerebral vasospasm were conspicuously influenced by subarachnoid hemorrhage and occurrence time (P < 0.05), and influenced prognosis of patients (P < 0.05). Conclusion There were impotant significance to TCD detecting cerebral blood flow for evaluating degree of cerebral vasospasm and assessing prognosis in patients with aneury smal subarachnoid hemorrhage.

【基金】 广东省医学科研基金(A2006582)
  • 【文献出处】 深圳中西医结合杂志 ,Shenzhen Journal of Integrated Traditional Chinese and Western Medicine , 编辑部邮箱 ,2006年04期
  • 【分类号】R743.35
  • 【被引频次】2
  • 【下载频次】67
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