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经颅多普勒在脑梗死溶栓决策中的应用

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摘要 目的比较经颅多普勒(TCD)与磁共振血管造影(MRA)在脑梗死静脉溶栓时对血管闭塞程度的判断。方法选择符合溶栓条件的患者,进行MRA并用TCD探测闭塞侧血流。结果62例患者中MRA提示54例有动脉闭塞,8例正常;TCD提示52例闭塞,10例正常。结论TCD能准确地反映大脑中动脉主干闭塞,当无法行数字减影血管造影术(DSA),MRA等检查时,可代替造影检查,即时决策,确定溶栓治疗方案。
出处 《广东医学》 CAS CSCD 北大核心 2005年第12期1670-1671,共2页 Guangdong Medical Journal
基金 广东省医学科学技术研究基金资助项目(编号:A2002916)
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参考文献6

  • 1国家"九五"攻关课题协作组.急性脑梗死六小时以内的静脉溶栓治疗[J].中华神经科杂志,2002,35(4):210-213. 被引量:375
  • 2Bamford J, Sandercock P, Dennis M, et al. Classification and natural history of clinically subtypes of cerebral infarction. Lancet, 1991, 337(220): 1521.
  • 3Andrew MD, Burgin WS, Ioannis C, et al. Thrombolysis in brain ischemia (TIBI) transcranial doppler flow grades predict clinical severity,early recovery, and mortality in patients treated with intravenous tissue plasminogen activator. stroke, 2001, 32: 89.
  • 4Burgin WS, Malkoff M, Robert A, et al. Transcranial doppler ultrasound criteria for recanalization after thrombolysis for middle cerebral artery stroke. Stroke ,2000, 1:1128.
  • 5Demchuck AM, Christou I, Felberg R, et al. The accuracy and criteria for localizing arterial occlusion with transcranial doppler. J Neuroimag, 2000,10:1.
  • 6Claudio Baracchini, Renzo Manara, Mario Ermani, et al. The quest for early predictors of stroke evolution: Can TCD be a guiding light? Stroke,2000, 31: 2942.

二级参考文献8

  • 1TheNationalInstituteofNeurologicalDisordersandStrokertPAStrokeStudyGroup.Tissueplasminogenactivatorforacuteischemicstroke[].NEngJMed.1995
  • 2MulticenterAcuteStrokeTrialItaly(MAST I)Group.Randomisedcontrolledtrialofstreptokinase,aspirinandcombinationofbothintreatmentofacuteischemicstroke[].The Lancet.1995
  • 3Hacke W,Bluhmki E,Steiner T,et al.Dichotomized efficacy end points and global end-point analysis applied to the ECASS in tention-totreat data set.Post hoc analysis of ECASS Ⅰ[].Stroke.1998
  • 4Memezawa H,Simith ML,Siesjo BK.Penumbral tissue salvaged byreperfusion following middle cerebral artery occlusion in rats[].Stroke.1992
  • 5Overgarrd K,Sereghy T,Boysell G,et al.Reduction of infarct volume by thrombolysis with rt-PA in an embolic rat stroke model[].Scandinavian Journal of Clinical and Laboratory Investigation.1993
  • 6Del Zoppo GJ,Pessin MS,Mori E,et al.Thrombolytic intervention in acute thrombolic and embolic stroke[].Seminars in Neurology.1991
  • 7The ECASS Study Group.Intravenous thrombolysis with recombinant tissue plasminogen activator for acute he mispheric stroke[].The Journal of The American Medical Association.1995
  • 8Hantson L,Deweerdt W,De keyser J,et al.The European Stroke Scale[].Stroke.1994

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