床旁经颅多普勒在重症脑血管病监护中的应用 Application of Bedside Transcranial Doppler in Monitoring of Severe Cerebrovascular Diseases
经颅多普勒(transcranial doppler,TCD)的2MHz超声探头可以透过颅骨薄弱部位实时动态监 测颅底Willis环组成的血管血流速度,从而得到脑血流动力学等参数,在重症脑血管病领域得到了广 泛的应用。TCD一直是蛛网膜下腔出血床旁诊断的有力武器,但是TCD诊断的血管痉挛对临床预后的 判断受到临床挑战。血管再通迎来春天,床旁TCD可以对血管再通治疗后高灌注综合征的发生起到 预警作用,而且可以随访检测血管再通的治疗效果。TCD对于无创颅内压监测的指示作用有待国际公 认的可重复的数学模型出现。 Abstract: Transcranial Doppler (TCD) i...
Main Author: | 米东华,杨中华,杨波,王拥军,刘丽萍 |
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Format: | Article |
Language: | zho |
Published: |
Editorial Department of Chinese Journal of Stroke
2018-05-01
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Series: | Zhongguo cuzhong zazhi |
Subjects: | |
Online Access: | http://www.chinastroke.org.cn/CN/article/openArticlePDF.jsp?id=2491 |
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