Jalan R, Newby D E, Olde Damink S W, Redhead D N, Hayes P C, Lee A
Liver Unit and Scottish Liver Transplantation Unit, Royal Infirmary of Edinburgh, Scotland, UK.
Liver Transpl. 2001 Mar;7(3):274-8. doi: 10.1053/jlts.2001.22181.
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.
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。