Hekster R E
Diagn Imaging. 1979;48(4):191-5.
The neuroradiological examination in patients with clinical symptoms of intracranial bleeding is indicated in a high percentage of cases, especially since large series of CT examinations have proven that in many cases the false clinical diagnosis of cerebrovascular accident is made with patients actually bleeding out of arterial lesions. In a large number of cases angiography will be necessary in addition to CT examination. Naturally the complications which may occur with these angiographic procedures should be avoided as much as possible. Measures to minimalize the haemodynamic effect of catheterization or puncture and the following contrast injection in the brachiocephalic vessels are discussed. The application of metrizamide as a contrast medium with these angiographic analyses is explained.
对于有颅内出血临床症状的患者，神经放射学检查在很大比例的病例中是必要的，特别是大量的CT检查已证明，在许多情况下，脑血管意外的临床误诊是由于患者实际上是动脉病变出血。除CT检查外，在大量病例中还需要进行血管造影。当然，应尽可能避免这些血管造影操作可能出现的并发症。讨论了尽量减少导管插入或穿刺以及随后在头臂血管中注射造影剂的血流动力学影响的措施。解释了将甲泛葡胺用作这些血管造影分析的造影剂的应用。
