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[经颅多普勒超声检查与变分脉搏测量法在儿童脑血管张力障碍诊断中的应用]

[Transcranial dopplerography and variational pulsimetry in the diagnosis of cerebral angiodystonias in children].

作者信息

Andreev A V, Lobanova L V, Ermolin I E

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1994;94(3):22-3.

PMID:7975981
Abstract

The hypoxemia-hypercapnia test with closed-space breathing has been performed in 71 children aged 9-15. The examinees comprised three groups: healthy controls (n = 12), patients with latent cerebral angiodystonia (n = 9), patients with clinical cerebral angiodystonia (n = 50). The patients could hardly tolerate closed-space breathing. They complained of head aches, dizziness, suffered from vegetative stigmas, neurological deficiency. In subclinical and apparent disease vegetative dysadaptation predominated in the parasympathetic and dysregulatory forms. The load-provoked increase in the linear blood flow rate and a decrease in the resistance index appeared more pronounced in the controls. This evidences reduced adaptive potential of brain autoregulation in patients with cerebral angiodystonia.

摘要

对71名9至15岁的儿童进行了密闭空间呼吸的低氧血症-高碳酸血症试验。受试者分为三组:健康对照组(n = 12)、潜在脑血管张力障碍患者(n = 9)、临床脑血管张力障碍患者(n = 50)。患者很难耐受密闭空间呼吸。他们抱怨头痛、头晕,患有植物神经症状、神经功能缺陷。在亚临床和明显疾病中,植物神经适应不良以副交感神经和调节障碍形式为主。负荷诱发的线性血流速度增加和阻力指数降低在对照组中更为明显。这证明脑血管张力障碍患者脑自动调节的适应潜力降低。

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