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疑似脑死亡的放射性核素脑灌注研究。

Radionuclide brain perfusion studies in suspected brain death.

作者信息

Kuni C C, Rogge D M

出版信息

Clin Nucl Med. 1986 Aug;11(8):551-5. doi: 10.1097/00003072-198608000-00005.

DOI:10.1097/00003072-198608000-00005
PMID:3017625
Abstract

The radionuclide brain perfusion study (RPS) has been suggested as a method of confirming suspected brain death. The hospital records and RPSs of 34 patients referred were reviewed because brain death was suspected. In every case but one the RPS showed absent or drastically reduced cerebral blood flow. No patient survived more than five days, and 25 survived less than 24 hours. These findings are consistent with the results of previous reports of a total of 248 patients; only one of 248 survived and was discharged from the hospital after having had a positive RPS. The RPS is highly accurate in confirming brain death.

摘要

放射性核素脑灌注研究(RPS)已被提议作为一种确诊疑似脑死亡的方法。由于怀疑脑死亡,对转诊的34例患者的医院记录和RPS进行了回顾。除1例患者外,在其他所有病例中,RPS均显示脑血流缺失或显著减少。没有患者存活超过5天,25例患者存活时间不到24小时。这些发现与之前共248例患者的报告结果一致;248例患者中只有1例存活,并在RPS呈阳性后出院。RPS在确诊脑死亡方面高度准确。

相似文献

1
Radionuclide brain perfusion studies in suspected brain death.疑似脑死亡的放射性核素脑灌注研究。
Clin Nucl Med. 1986 Aug;11(8):551-5. doi: 10.1097/00003072-198608000-00005.
2
Variant flow patterns in radionuclide cerebral imaging performed for brain death.
Clin Nucl Med. 1985 May;10(5):346-52. doi: 10.1097/00003072-198505000-00007.
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Ancillary radionuclide perfusion studies in the determination of death by neurologic criteria: methods, interpretation, and lexicon-a user guide for the clinician.辅助放射性核素灌注研究用于根据神经标准判定死亡:方法、解读和术语——临床医生使用指南。
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Determination of brain death. Ad Hoc Committee on Brain Death.脑死亡的判定。脑死亡特设委员会。
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The hollow skull: a sign of brain death in Tc-99m HM-PAO brain scintigraphy.空洞颅骨:锝-99m六甲基丙烯胺肟脑闪烁显像中脑死亡的一个征象。
Clin Nucl Med. 1989 Dec;14(12):912-6. doi: 10.1097/00003072-198912000-00012.
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Brain death: rapid evaluation using computerized radionuclide cerebral flow study.脑死亡:利用计算机放射性核素脑血流研究进行快速评估。
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Clinical use of technetium-99m HM-PAO for determination of brain death.锝-99m六甲基丙二胺肟用于脑死亡判定的临床应用。
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Brain death: confirmation by radionuclide cerebral angiography.脑死亡:通过放射性核素脑血管造影术进行确认
Clin Nucl Med. 1988 Jun;13(6):438-42. doi: 10.1097/00003072-198806000-00012.

引用本文的文献

1
A simple bedside method for the prompt diagnosis of brain death.一种用于快速诊断脑死亡的简单床边方法。
West J Med. 1988 Apr;148(4):453-4.
2
Tc-99m-HMPAO single photon emission computed tomography (SPECT) as an ancillary test in the diagnosis of brain death.锝-99m-六甲基丙二胺肟单光子发射计算机断层扫描(SPECT)作为脑死亡诊断的辅助检查。
Intensive Care Med. 1998 Sep;24(9):895-7. doi: 10.1007/s001340050687.
3
Determination of cerebral perfusion by means of planar brain scintigraphy and 99mTc-HMPAO in brain death, persistent vegetative state and severe coma.
通过平面脑闪烁显像术和99mTc-HMPAO测定脑死亡、持续性植物状态和重度昏迷患者的脑灌注情况。
Intensive Care Med. 1992;18(2):76-81. doi: 10.1007/BF01705036.