赣南医学院学报
贛南醫學院學報
공남의학원학보
JOURNAL OF GANNAN MEDICAL COLLEGE
2014年
2期
211-212,215
,共3页
罗开源%王华彬%钟小明%罗娟娟%王长浦%廖红群%赖丽萍
囉開源%王華彬%鐘小明%囉娟娟%王長浦%廖紅群%賴麗萍
라개원%왕화빈%종소명%라연연%왕장포%료홍군%뢰려평
甘露醇%颅内高压%脑血流%经颅多普勒
甘露醇%顱內高壓%腦血流%經顱多普勒
감로순%로내고압%뇌혈류%경로다보륵
mannitol%intracranial hypertension%intracerebral hemorrhage%transcranial Doppler
目的:探讨甘露醇对急性颅内高压征危重患儿脑血流动力学的影响。方法:采用经颅多普勒( TCD)监测25例急性颅内高压征危重患儿,使用甘露醇前、后大脑中动脉频谱形态和血流速度变化。结果:23例急性颅内高压患儿注射甘露醇0.5 h后收缩期峰流速( Vp)、舒张期末血流速度( Vd)、平均血流速度( Vm)均增加,搏动指数(PI)降低(P﹤0.05),20例TCD频谱改变呈高阻力型,2例注射甘露醇前后均无脑血流信号。结论:急性颅内高压患儿使用甘露醇治疗可改善脑血流灌注,但对于TCD频谱变化明显异常、舒张期血流消失或反向血流的患儿甘露醇疗效不佳,预后差。
目的:探討甘露醇對急性顱內高壓徵危重患兒腦血流動力學的影響。方法:採用經顱多普勒( TCD)鑑測25例急性顱內高壓徵危重患兒,使用甘露醇前、後大腦中動脈頻譜形態和血流速度變化。結果:23例急性顱內高壓患兒註射甘露醇0.5 h後收縮期峰流速( Vp)、舒張期末血流速度( Vd)、平均血流速度( Vm)均增加,搏動指數(PI)降低(P﹤0.05),20例TCD頻譜改變呈高阻力型,2例註射甘露醇前後均無腦血流信號。結論:急性顱內高壓患兒使用甘露醇治療可改善腦血流灌註,但對于TCD頻譜變化明顯異常、舒張期血流消失或反嚮血流的患兒甘露醇療效不佳,預後差。
목적:탐토감로순대급성로내고압정위중환인뇌혈류동역학적영향。방법:채용경로다보륵( TCD)감측25례급성로내고압정위중환인,사용감로순전、후대뇌중동맥빈보형태화혈류속도변화。결과:23례급성로내고압환인주사감로순0.5 h후수축기봉류속( Vp)、서장기말혈류속도( Vd)、평균혈류속도( Vm)균증가,박동지수(PI)강저(P﹤0.05),20례TCD빈보개변정고조력형,2례주사감로순전후균무뇌혈류신호。결론:급성로내고압환인사용감로순치료가개선뇌혈류관주,단대우TCD빈보변화명현이상、서장기혈류소실혹반향혈류적환인감로순료효불가,예후차。
Objective:To explore the effect of mannitol on cerebral hemodynamics in patients with acute intracranial hyper-tension syndrome. Methods:25 cases with acute intracranial hypertension were detected by transcranial Doppler( TCD). The middle cerebral artery for target vessel,observe the frequency spectrum form and the blood flow velocity changes. Re-sults:23 cases of acute intracranial hypertension injected of mannitol after 0. 5 h,the peak velocity in systolic( Vp),the velocity in end diastolic(Vd),the mean flow velocities(Vm)were increased(P<0. 05),the pulsatility index(PI)de-creased(P<0. 05 ),20 cases of TCD spectrum changes showed high resistance type,2 cases had no cerebral blood flow signal before and after treatment with mannitol. Conclusions:Using mannitol therapy for patients with acute intracranial hypertension can improve cerebral blood flow perfusion,but the patients with TCD spectrum changed obviously abnormal, flow away in Diastolic,The reverse flow were Poor prognosis.