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新生儿早期颅内动脉血流速度的彩色多普勒和脉冲多普勒超声评估。

Evaluation by colour Doppler and pulsed Doppler sonography of blood flow velocities in intracranial arteries during the early neonatal period.

作者信息

Hayashi T, Ichiyama T, Uchida M, Tashiro N, Tanaka H

机构信息

Department of Paediatrics, Yamaguchi University School of Medicine, Japan.

出版信息

Eur J Pediatr. 1992 Jun;151(6):461-5. doi: 10.1007/BF01959365.

DOI:10.1007/BF01959365
PMID:1628678
Abstract

Using a colour pulsed Doppler flow mapping system, we examined the intracranial arteries of 40 healthy infants. The anterior cerebral, basilar, intracranial internal carotid and middle cerebral arteries were visualized clearly enough to evaluate flow velocity at the success rates of 100%, 87.5%, 65% and 82.4%, respectively. In the anterior cerebral, intracranial internal carotid and middle cerebral arteries, the maximum blood flow velocity slightly decreased to a minimum at around 4-6 h after birth, and then gradually increased. The minimum blood flow velocity pattern was similar. The maximum blood flow velocity in the basilar artery decreased from 0-3 h, rapidly increased from 4-6 h, and remained at a steady level thereafter. A possible mechanism for the chronological changes in the intracranial blood flow velocity is discussed.

摘要

我们使用彩色脉冲多普勒血流成像系统对40名健康婴儿的颅内动脉进行了检查。大脑前动脉、基底动脉、颅内颈内动脉和大脑中动脉的显示清晰度足以分别以100%、87.5%、65%和82.4%的成功率评估血流速度。在大脑前动脉、颅内颈内动脉和大脑中动脉中,最大血流速度在出生后约4 - 6小时略有下降至最低值,然后逐渐增加。最小血流速度模式相似。基底动脉的最大血流速度在0 - 3小时下降,在4 - 6小时迅速增加,此后保持稳定水平。本文讨论了颅内血流速度随时间变化的可能机制。

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本文引用的文献

1
The effect of patent ductus arteriosus on flow velocity in the anterior cerebral arteries: ductal steal in the premature newborn infant.动脉导管未闭对大脑前动脉血流速度的影响:早产儿的导管窃血现象
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Sonography of the normal neonatal head. Supratentorial structures: state-of-the-art imaging.
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Neonatal brain: color Doppler imaging. Part I. Technique and vascular anatomy.新生儿脑:彩色多普勒成像。第一部分。技术与血管解剖。
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Early postnatal changes in intracranial arterial blood flow velocities in term infants.足月儿出生后早期颅内动脉血流速度的变化
Pediatr Res. 1987 Oct;22(4):461-4. doi: 10.1203/00006450-198710000-00020.
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Colour flow imaging of the great intracranial arteries in infants.婴儿颅内大动脉的彩色血流成像
Neuroradiology. 1989;31(1):40-3. doi: 10.1007/BF00342028.
7
Pulsed Doppler sonographic measurement of normal values for the flow velocities in the intracranial arteries of healthy newborns.健康新生儿颅内动脉血流速度正常值的脉冲多普勒超声测量。
Pediatr Radiol. 1989;19(2):71-8. doi: 10.1007/BF02387890.
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Noninvasive diagnosis of neonatal asphyxia and intraventricular hemorrhage by Doppler ultrasound.
J Pediatr. 1979 Nov;95(5 Pt 1):775-9. doi: 10.1016/s0022-3476(79)80735-0.