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[急性脑血管卒中患者颈动脉床病变的侧别定位]

[Lateralization of lesions in the carotid bed in patients with sudden cerebrovascular stroke].

作者信息

Spacek M, Chromová L, Kocumová I

出版信息

Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove Suppl. 1989;32(5):597-603.

PMID:2700399
Abstract

Statistical significance of different factors in laterality of lesions in the carotid bed was studied on a group of 170 patients indicated to ultrasound examination. These were factors contained in the patients' history, i.e. ischemic heart disease, arterial hypertension, diabetes mellitus, age and sex of patients as well as results obtained from auxiliary examinations--Doppler sonography, KAG, EEG and CT of the brain. A marked statistical predominance of lesions in the left-side carotid bed was found, which was, however, true only for men, especially those after a completed stroke. The left-sided bed is, moreover, involved earlier, higher incidence of ischemic heart disease was also observed in left-sided lesions as well as more severe findings obtained from Doppler sonography, angiography, EEG and CT of the brain.

摘要

对一组170名接受超声检查的患者研究了颈动脉床病变侧别中不同因素的统计学意义。这些因素包括患者病史中的缺血性心脏病、动脉高血压、糖尿病、患者年龄和性别,以及辅助检查结果——多普勒超声、KAG、脑电图和脑部CT。发现左侧颈动脉床病变有明显的统计学优势,但仅在男性中如此,尤其是那些有过完全性中风的男性。此外,左侧颈动脉床更早受累,左侧病变中缺血性心脏病的发病率也更高,并且从脑部多普勒超声、血管造影、脑电图和CT检查中获得的结果也更严重。

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