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门体分流期间脑血流和代谢的急性变化。

Acute changes in cerebral blood flow and metabolism during portasystemic shunting.

作者信息

Jalan R, Newby D E, Olde Damink S W, Redhead D N, Hayes P C, Lee A

机构信息

Liver Unit and Scottish Liver Transplantation Unit, Royal Infirmary of Edinburgh, Scotland, UK.

出版信息

Liver Transpl. 2001 Mar;7(3):274-8. doi: 10.1053/jlts.2001.22181.

DOI:10.1053/jlts.2001.22181
PMID:11244172
Abstract

This report describes the instantaneous changes in cerebral blood flow (CBF), determined by intravascular ultrasound and Doppler, in a patient with cirrhosis undergoing placement of a transjugular intrahepatic stent-shunt for uncontrolled variceal bleeding. Acute changes in CBF were observed during and after portasystemic shunting, which culminated in cerebral edema and cerebral herniation.

摘要

本报告描述了一名肝硬化患者在接受经颈静脉肝内支架分流术以治疗无法控制的静脉曲张出血时,通过血管内超声和多普勒测定的脑血流量(CBF)的瞬时变化。在门体分流术期间及术后观察到CBF的急性变化,最终导致脑水肿和脑疝形成。

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Acute changes in cerebral blood flow and metabolism during portasystemic shunting.门体分流期间脑血流和代谢的急性变化。
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2
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Acute endotoxemia following transjugular intrahepatic stent-shunt insertion is associated with systemic and cerebral vasodilatation with increased whole body nitric oxide production in critically ill cirrhotic patients.经颈静脉肝内支架分流术(TIPS)后发生的急性内毒素血症与危重症肝硬化患者全身和脑血管舒张以及全身一氧化氮生成增加有关。
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2
Cirrhotic Multiorgan Syndrome.肝硬化多器官综合征
Dig Dis Sci. 2015 Nov;60(11):3209-25. doi: 10.1007/s10620-015-3752-3. Epub 2015 Jun 26.
3
Transjugular intrahepatic portosystemic shunt induced short- and long-term cerebral blood flow variations in cirrhotic patients: an arterial spin labeling MRI study.
经颈静脉肝内门体分流术诱导肝硬化患者短期和长期脑血流变化:一项动脉自旋标记 MRI 研究。
Metab Brain Dis. 2013 Sep;28(3):463-71. doi: 10.1007/s11011-013-9400-8. Epub 2013 Apr 7.
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Metab Brain Dis. 2007 Dec;22(3-4):375-88. doi: 10.1007/s11011-007-9071-4.
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Effects of porta-systemic shunting and ammonia infusion on cerebral blood flow autoregulation in the rat.门体分流和氨输注对大鼠脑血流自动调节的影响。
Neurocrit Care. 2005;3(1):86-90. doi: 10.1385/NCC:3:1:086.
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Changes in brain size in hepatic encephalopathy: a coregistered MRI study.肝性脑病患者脑容量的变化:一项磁共振成像配准研究
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