CAJ | 학술논문

经颅多普勒超声(transcranial doppler ultrasonography,TCD)是一种非侵入性评价颅内动脉的检测手段,自上世纪80年代问世以来,已被广泛性应用于临床工作的各个领域.由于其操作简便、重复性好,可以对患者进行床旁连续、动态观察,尤其适用于监测危重症患者.颅内压增高是儿童致病致死的再要原因之一,它可使脑血流灌注下降,造成脑功能障碍等严重后果,因此颅内压监测有重要临床意义.TCD作为一种无创性监测工具,可根据其血流速度、相关参数及血流频谱的变化对颅内压增高患者脑血流动力学进行动态监测与评估,从而达到监测颅内压改变的目的.本文着重阐述TCD在几种常见的儿童颅内高压性疾病中的应用进展.
경로다보륵초성(transcranial doppler ultrasonography,TCD)시일충비침입성평개로내동맥적검측수단,자상세기80년대문세이래,이피엄범성응용우림상공작적각개영역.유우기조작간편、중복성호,가이대환자진행상방련속、동태관찰,우기괄용우감측위중증환자.로내압증고시인동치병치사적재요원인지일,타가사뇌혈류관주하강,조성뇌공능장애등엄중후과,인차로내압감측유중요림상의의.TCD작위일충무창성감측공구,가근거기혈류속도、상관삼수급혈류빈보적변화대로내압증고환자뇌혈류동역학진행동태감측여평고,종이체도감측로내압개변적목적.본문착중천술TCD재궤충상견적인동로내고압성질병중적응용진전.
The transcranial doppler ultrasonography (TCD) is a non-invasive detection methods of evaluating intracranial artery.Since the 1980s,TCD has been extensively used in various fields of clinical work.Because of its simple operation,good repeatability,and the continuous bedside observation of patients,TCD is especially suitable for severe patients.Increased intracranial pressure is one of the important reasons for the deadly disease in children,it can make the cerebral blood flow perfusion decreased,causing serious consequences,such as brain dysfunction,so intracranial pressure monitoring has important clinical significance.TCD as a noninvasive monitoring tool,can monitor the patients with increased intracranial pressure dynamically,according to the blood flow velocity,the related parameters and the wave of cerebral hemodynamics,so as to achieve the purpose of monitoring intracranial pressure change.This article focused on the TCD application progress in several common children's diseases of increased intracranial pressure.