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[神经外科病理学中脑血液供应自动调节的多普勒超声评估]

[Dopplerographic assessment of the autoregulation of the blood supply to the brain in neurosurgical pathology].

作者信息

Gaĭdar B V, Parfenov V E, Svistov D V

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1998 Jul-Sep(3):31-5; discussion 35-6.

PMID:9854784
Abstract

The development of an informative, noninvasive technique for evaluating the reserve of the cerebral circulatory system is a topical task of clinical angioneurology. The authors developed methods of Doppler evaluation of an autoregulatory response from hyperemic changes after short-term regional hypotension caused by digital compression of the cervical carotid. They calculated the indices acceptable in routine clinical practice, defined the range of their values in health and in typical variants of cerebral circulatory insufficiency in patients with disseminated neurosurgical pathology. The carotid compression test by recording linear blood flow velocity in the cerebral arteries is a safe, valid, and reproducible method of semiquantitative assessment of the autoregulation reserve which may be used to determine the tension of resistive vessels in the middle cerebral arterial bed as an important index of the functional status of the cerebral circulatory system.

摘要

开发一种用于评估脑循环系统储备的信息丰富、非侵入性技术是临床血管神经病学的一项热门任务。作者开发了多普勒评估方法,用于评估由颈总动脉数字压迫引起的短期局部低血压后充血变化的自动调节反应。他们计算了常规临床实践中可接受的指标,确定了健康人群以及患有弥漫性神经外科疾病的患者脑循环功能不全典型变体中这些指标的值范围。通过记录脑动脉中的线性血流速度进行颈动脉压迫试验,是一种安全、有效且可重复的自动调节储备半定量评估方法,可用于确定大脑中动脉床阻力血管的张力,作为脑循环系统功能状态的重要指标。

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