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[脑血管意外中的视网膜血流动力学]

[Retinal hemodynamics in cerebrovascular accidents].

作者信息

Lemke S, Lemke L, Wieczorek V

出版信息

Z Gesamte Inn Med. 1981 Sep 15;36(18):670-4.

PMID:7314749
Abstract

In 32 patients the times of retinal passage were determined in 112 examinations immediately after cerebrovascular insult and following in daily intervals. In this case after the insult a significant change of the retinal haemodynamics could be observed: the bolus-tension time and the time V2 showed a continuous deterioration of the blood supply of the retina possibly parallel to the cerebral haemodynamics. Furthermore it was shown that the initial prolongation of the arm-retina-times over 17 seconds refers to serve cerebral lesions with poor prognosis. It seems that the method described is not suitable for the preliminary diagnosis of extracranial vascular processes: In acute extracranial vascular occlusion we found equality of the sides of the inflow of dye as well as differences of the sides of more than 30 seconds in free extracranial vascular lumina.

摘要

在32例患者中,于脑血管损伤后立即及随后每日间隔进行了112次检查,测定视网膜通过时间。在此病例中,损伤后可观察到视网膜血流动力学有显著变化:团注张力时间和V2时间显示视网膜血液供应持续恶化,可能与脑血流动力学平行。此外,还表明臂-视网膜时间最初延长超过17秒提示预后不良的严重脑损伤。似乎所描述的方法不适用于颅外血管病变的初步诊断:在急性颅外血管闭塞时,我们发现染料流入两侧相等,而在颅外血管管腔通畅时两侧差异超过30秒。

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