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nao chu xue huan zhe jing lu duo pu le gai bian ( fu 72 li fen xi )
Author(s): 
Pages: 16
Year: Issue:  5
Journal: HARBIN MEDICAL JOURNAL

Abstract: 目的探讨经颅多普勒超声(TCD)监测对脑出血治疗的指导作用.方法对72例脑出血住院患者进行动态TCD监测,并将前后结果进行比较.结果72例患者中,60例在发病第1天~7天,TCD表现两侧大脑中动脉低流速,患侧明显低,收缩峰高尖,舒张末期流速低,PI值高,表现高阻波形.发病第24日,血流速增高,舒张末期流速增高,PI值降低.3例在发病后第1日及第3日显示重度颅内压增高表现,并在1周内死亡.其余9例TCD动态改变不明显.结论应用TCD动态监测,可评估患者的脑灌注状态,反应颅内压的改变,指导临床治疗及评价预后.
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