Gralewski Z
Neurol Neurochir Pol. 1981 May-Jun;15(3):253-8.
The author carried out ultrasonography of the common carotid arteries by the method based on Doppler's phenomenon in 100 subjects aged 16--86 years. The maximal, minimal and mean flow velocity, vascular resistance, and symmetry and shape of the recorded curve were evaluated. Early and progressing with age changes were found in the curve indicating decreasing vascular wall elasticity. The maximal flow velocity decreased also rapidly. On the other hand, the mean and the minimal flow velocity and the index of vascular resistance remained without substantial changes up to the age of 70 years. In later age the minimal and mean flow velocity decreased rapidly and the index of vascular resistance increased greatly. This suggested accelerated rate of atherosclerosis development and/or exhaustion of compensatory mechanisms. In 3 cases of considerable asymmetry of the curve was observed caused by asymptomatic stenosis of one artery. Doppler ultrasonography could be useful at the time of intensification and evolution of atherosclerotic changes in the carotid arteries, and their effect on the condition of cerebral circulation.
作者采用基于多普勒现象的方法,对100名年龄在16至86岁之间的受试者的颈总动脉进行了超声检查。评估了最大、最小和平均流速、血管阻力以及记录曲线的对称性和形状。发现曲线存在早期且随年龄进展的变化,表明血管壁弹性降低。最大流速也迅速下降。另一方面,平均和最小流速以及血管阻力指数在70岁之前基本没有变化。在老年时,最小和平均流速迅速下降,血管阻力指数大幅增加。这提示动脉粥样硬化发展速度加快和/或代偿机制衰竭。在3例中观察到曲线存在明显不对称,是由一条动脉的无症状狭窄引起的。多普勒超声检查在颈动脉粥样硬化病变的强化和演变及其对脑循环状况的影响方面可能有用。