颈动脉狭窄手术中依据经颅多普勒超声诊断脑过度灌注两例
发布时间：2019-07-31 20:32
【摘要】：正例1患者,女,71岁,因"左侧颈内动脉重度狭窄"拟在全麻下行"颈动脉内膜剥脱术"。患者5个月前因左侧半卵圆中心脑梗死导致右侧偏瘫。3个月前入我院拟行"颈动脉支架置入术",术中造影时发生碘造影剂过敏性休克,遂终止手术,治疗好转后出院。颈动脉内膜剥脱术中使用经颅多普勒超声(transcranial Doppler,TCD)分别在54mm及44mm两个深度监测左侧大脑中动脉(middle cerebral artery,MCA)血流速度,于有创动
[Abstract]:Case 1, female, 71 years old, due to "severe stenosis of left internal carotid artery", "carotid intimal stripping" under general anesthesia. Five months ago, the patient suffered from right hemiparesis due to left hemicircular central cerebral infarction. Three months ago, he was admitted to our hospital for "carotid stenting". Anaphylactic shock of iodine contrast agent occurred during intraoperative angiography, so the operation was terminated and the treatment was improved and discharged from hospital. Transcranial Doppler ultrasound (transcranial Doppler,TCD) was used to monitor the blood flow velocity of left middle cerebral artery (middle cerebral artery,MCA) in 54mm and 44mm, respectively, and invasive motion was used in carotid endarterectomy.
【作者单位】： 首都医科大学宣武医院麻醉科;
【分类号】：R614
本文编号：2521556
[Abstract]:Case 1, female, 71 years old, due to "severe stenosis of left internal carotid artery", "carotid intimal stripping" under general anesthesia. Five months ago, the patient suffered from right hemiparesis due to left hemicircular central cerebral infarction. Three months ago, he was admitted to our hospital for "carotid stenting". Anaphylactic shock of iodine contrast agent occurred during intraoperative angiography, so the operation was terminated and the treatment was improved and discharged from hospital. Transcranial Doppler ultrasound (transcranial Doppler,TCD) was used to monitor the blood flow velocity of left middle cerebral artery (middle cerebral artery,MCA) in 54mm and 44mm, respectively, and invasive motion was used in carotid endarterectomy.
【作者单位】： 首都医科大学宣武医院麻醉科;
【分类号】：R614
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