摘要
目的探讨经颅多普勒超声(TCD)在评价蛛网膜下腔出血(SAH)后脑血管痉挛(CVS)中的作用。方法回顾性分析连云港市第一人民医院2004年以来42例CVS患者的TCD检测结果,并与SAH发生时间、出血程度(F isher分级)和预后进行比较分析。结果病程<6 d组以轻度为主,7～15 d以中重度为主,出血少量组CVS以轻度为主,出血多量组以中重度为主(P<0.05)。SAH发生时间、程度对脑血管痉挛有明显影响,与SAH患者预后有关。结论经颅多普勒超声检测对原发性蛛网膜下腔出血后脑血管痉挛的程度评估和预后判断有重要意义。
[ Objective] To investigate the role of transcranial Doppler ultrasound （ TCD ） in evaluation of cerebral vasospasm （ CVS ） following subarachnoid hemorrhage （SAH）. [ Methods] Retrospective analysis was conducted on TCD test results of 42 CVS patients who were in Lianyungang First People＇s Hospital since January 2004. Occurrence time, The results, the degree of bleeding （ Fisher grade） and prognosis were comparatively analyzed. [Results] CVS of duration 〈 6 days group was mainly mild; that of 7-15days group was mainly moderate to severe; small amount bleeding group was mainly mild, large amount bleeding group was mainly moderate to severe （ P 〈 0. 05 ）. Occurrence time and degree of SAH had obvious effect on CVS and related with the prognosis of SAH patients. [ Conclusion] Transcranial Doppler has significance in assessment and prognosis of CVS following primary SAH.
出处
《职业与健康》
CAS
2009年第12期1333-1334,共2页
Occupation and Health
关键词
经颅多普勒
蛛网膜下腔出血
脑血管痉挛
Transcranial Doppler
Subarachnoid hemorrhage
Cerebral vasospasm
