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经颅多普勒超声在动脉瘤性蛛网膜下腔出血后血管痉挛的诊断和治疗中的作用。

The role of transcranial Doppler ultrasonography in the diagnosis and management of vasospasm after aneurysmal subarachnoid hemorrhage.

机构信息

Division of Neurosciences Critical Care, Departments of Anesthesiology Critical Care Medicine, Johns Hopkins University School of Medicine, Meyer 8-140, 600 North Wolfe Street, Baltimore, MD 21287, USA.

出版信息

Neurosurg Clin N Am. 2010 Apr;21(2):291-303. doi: 10.1016/j.nec.2009.10.010.

Abstract

Transcranial Doppler ultrasonography (TCD) is a tool employed by the neurosurgeon and neurointensivist in the management of vasospasm in the intensive care unit after aneurysmal subarachnoid hemorrhage. A review of the current indications, monitoring parameters, indices, and relevance of modern TCD technology is provided, as well as algorithms for the use of TCD ultrasonography in the management of patients with subarachnoid hemorrhage. Other current uses of TCD ultrasonography are also discussed in the setting of neurocritical care.

摘要

经颅多普勒超声(TCD)是神经外科医生和神经重症医师在重症监护病房管理蛛网膜下腔出血后血管痉挛的工具。本文回顾了 TCD 的当前适应证、监测参数、指数和现代 TCD 技术的相关性,以及 TCD 超声在蛛网膜下腔出血患者管理中的应用算法。本文还讨论了 TCD 超声在神经重症监护中的其他当前用途。

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