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经颅多普勒超声对于急性脑水肿的重症患儿监测的临床意义 被引量:5

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摘要 目的:对急性脑水肿患儿进行经颅多普勒(TCD)床旁监测,研究TCD在急性脑水肿患儿颅内压监测中的作用。方法:对73例符合急性脑水肿诊断的患儿应用TCD进行监测,将各项参数(Vs、Vd、Vm、PI、RI)以及血流频谱与同龄段的正常对照组进行比较。结果:急性脑水肿一组患儿的TCD显示,Vd及Vm下降,PI、RI升高,与对照组相比差异有显著性(P<0.01),Vs与对照组相比差异无显著性(P>0.05)。同时其血流频谱在颅内压升高的不同阶段呈现出特征性改变。结论:TCD所提供的丰富的脑血流动力学资料对于急性脑水肿患儿的颅内压增高的分级以及评价治疗的效果有着显著的临床意义。
机构地区 广州市儿童医院
出处 《实用医学杂志》 CAS 2008年第1期56-58,共3页 The Journal of Practical Medicine
基金 广东省卫生厅科研项目资助项目(编号:A2005571)
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