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。
Objective To investigate the value of transcranial Doppler in the diagnosis of cerebral arterial vasospasm in the postoperative course of intraeranial 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 inereases 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 intraeranial anettrysms.
出处
《中国实验诊断学》
2005年第6期896-898,共3页
Chinese Journal of Laboratory Diagnosis
关键词
颅内动脉瘤
经颅多普勒
脑血管痉挛
intracranial anettrysm
transcranial Doppler
cerebral vasospasm
