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[高血压患者脑磁共振断层扫描与颅内外动脉磁共振血管造影联合应用的临床研究]

[The clinical aspect of the joint use of magnetic resonance tomography of the brain and magnetic resonance angiography of the extra- and intracranial arteries in patients with arterial hypertension].

作者信息

Abramova N N, Belichenko O I

出版信息

Ter Arkh. 1996;68(9):26-31.

PMID:9005607
Abstract

NMR tomography (NMRT) of the brain and NMR angiography (NMRA) of the extra- and intracranial arteries were performed on the unit Magnetom 63 SP (1.5 T) Siemens in 13 healthy controls and 87 patients with cerebrovascular diseases initiated by arterial hypertension and atherosclerosis of major cerebral arteries. NMRA image of arterial impairment comprise curved extracranial arteries. NMRT picture of the brain was changed (extension of liquor spaces, small hyperintensive foci in the white matter) in mild and moderate hypertension. Frequency of these phenomena and their severity increase with growing severity of the disease reaching maximum in malignant hypertension. In atherosclerosis of the major cerebral arteries NMRT often detected strokes, for the most part ischemic. A direct relationship between the degree of arterial stenosis and incidence of the strokes was not found.

摘要

对13名健康对照者以及87名由高血压和大脑主要动脉粥样硬化引发脑血管疾病的患者,使用西门子Magnetom 63 SP(1.5T)设备进行了脑部核磁共振断层扫描(NMRT)以及颅外和颅内动脉的核磁共振血管造影(NMRA)。动脉损伤的NMRA图像包括弯曲的颅外动脉。在轻度和中度高血压患者中,脑部的NMRT图像发生了改变(脑池扩大、白质内小的高强度病灶)。随着疾病严重程度的增加,这些现象的发生频率及其严重程度也会增加,在恶性高血压时达到最大值。在大脑主要动脉粥样硬化患者中,NMRT经常检测到中风,大部分为缺血性中风。未发现动脉狭窄程度与中风发生率之间存在直接关系。

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