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[用Xe-133定量测定局部脑循环:该方法在临床应用中的初步经验]

[Quantitative determination of regional cerebral circulation with Xe-133: lst experiences using this method in the clinic].

作者信息

Otto H J, Abraham K, Freitag J, Koch R D, Freitag G, Höfs R

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1982 Feb;34(2):100-6.

PMID:7089117
Abstract

After injection of the radioactive noble gas Xe133 into the A. carotis interna, the regional blood flow in the brain is determined with a 10-channel measuring unit. From the first clinical evaluation of the findings in 35 patients, the following conclusions can be drawn: 1. In epileptics, a localised hyperaemia very probary indicates a latent increased convulsive activity. 2. The measurement of the cerebral blood flow does not yield a contribution to the diagnosis of the type of cerebral tumours. 3. As a consequence of mass shifting of space occupying processes particularly endangered brain sections, also remote from the focus proper, show a localised pathological hyperaemia (morbid "luxus perfusion"). 4. Of greatest importance is the method for clearing up of pathophysiological relations, the clearing up of questions in connection with the blood/brain barrier function, and for the indications for and estimation of the results of vascular-surgical interventions.

摘要

将放射性惰性气体氙133注入颈内动脉后,用一个10通道测量装置测定脑内局部血流量。根据对35例患者检查结果的首次临床评估,可得出以下结论:1. 在癫痫患者中,局部充血很可能表明存在潜在的惊厥活动增加。2. 脑血流量的测量对脑肿瘤类型的诊断没有帮助。3. 由于占位性病变的肿块移位,特别是远离病变本身的脑区也会出现局部病理性充血(病态的“过度灌注”)。4. 最重要的是该方法可用于阐明病理生理关系、解决与血脑屏障功能相关的问题,以及确定血管外科手术干预的指征并评估其结果。

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