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[缺血性脑卒中急性期头部主要动脉闭塞性病变患者的中枢及脑血流动力学状况]

[Status of central and cerebral hemodynamics in patients with occlusive lesions of major arteries of the head in the acute period of ischemic stroke].

作者信息

Gusev E I, Pyshkina L I, Tlapshokova L B, Dzugaeva F K, Kabanov A A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(10):6-9.

PMID:1665655
Abstract

A study was made of the central and cerebral hemodynamics in 65 patients with occlusive lesions of the main arteries of the head in the acute period of ischemic brain stroke (on days 1, 7 and 21). Ultrasound dopplerography of the extracranial part of the main arteries of the head and unidimensional echocardiography were employed. Analysis of the linear velocity of the blood flow in the internal carotid and vertebral arteries, of their diameter and volumetric blood flow, and of the central hemodynamics allowed a conclusion that the presence of cardial pathology in ischemic brain stroke promotes a progressive decrease of contractile and pump function of the left ventricular myocardium toward the end of the acute period of ischemic brain stroke.

摘要

对65例缺血性脑卒中急性期(第1、7和21天)头部主要动脉闭塞性病变患者的中枢和脑血流动力学进行了研究。采用头部主要动脉颅外部分的超声多普勒检查和一维超声心动图检查。通过分析颈内动脉和椎动脉的血流线性速度、直径和容积血流量以及中心血流动力学,得出结论:缺血性脑卒中时心脏病变的存在会促使缺血性脑卒中急性期结束时左心室心肌的收缩和泵功能逐渐下降。

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