Viski Sandor, Olah Laszlo
Department of Family and Occupational Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Department of Neurology, University of Debrecen, Móricz Zs. krt. 22, H-4032, Debrecen, Hungary.
J Crit Care Med (Targu Mures). 2017 Aug 19;3(3):99-104. doi: 10.1515/jccm-2017-0021. eCollection 2017 Jul.
Use of transcranial Doppler has undergone much development since its introduction in 1982, making the technique suitable for general use in intensive care units. The main application in intensive care units is to assess intracranial pressure, confirm the lack of cerebral circulation in brain death, detect vasospasm in subarachnoid haemorrhage, and monitor the blood flow parameters during thrombolysis and carotid endarterectomy, as well as measuring stenosis of the main intracranial arteries in sickle cell disease in children. This review summarises the use of transcranial Doppler in intensive care units.
自1982年经颅多普勒被引入以来,其应用有了很大发展,使该技术适用于重症监护病房的常规使用。在重症监护病房的主要应用是评估颅内压、确认脑死亡时脑循环的缺失、检测蛛网膜下腔出血时的血管痉挛、监测溶栓和颈动脉内膜切除术期间的血流参数,以及测量儿童镰状细胞病主要颅内动脉的狭窄情况。本综述总结了经颅多普勒在重症监护病房的应用。