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[脑血管反应性在循环性脑病诊断与治疗中的作用]

[The role of the reactivity of cerebral vessels in the diagnosis and treatment of circulatory encephalopathies].

作者信息

Burtsev E M, Molokov D D

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(7):8-12.

PMID:2175099
Abstract

The central and cerebral hemodynamics was studied in 47 patients with atherosclerotic discirculatory encephalopathy, grade 1-2. Functional challenges were used to characterize the metabolic, neurogenic and neurohumoral control mechanisms in cerebral circulation, revealing inadequate angiospastic reaction in the defined vascular beds. The data demonstrate the role of reactivity of the cerebral blood vessels in the pathogenesis of discirculatory encephalopathy, and hence the possibility of precise choice of the correcting treatment which conforms with the mechanisms of angiospastic disorders.

摘要

对47例1-2级动脉粥样硬化性血液循环障碍性脑病患者的中枢和脑血流动力学进行了研究。采用功能激发试验来表征脑循环中的代谢、神经源性和神经体液控制机制,结果显示在特定血管床中存在血管痉挛反应不足的情况。数据表明脑血管反应性在血液循环障碍性脑病发病机制中的作用,从而说明有可能根据血管痉挛障碍机制精确选择纠正治疗方法。

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