脑血管疾病讲义.ppt

缺血阈与半暗带：正常脑血流量50ml/l00g/M; 下降至30ml/l00g/M以下，病人出现症状； 下降至20ml/l00g/M以下，神经元电活动衰竭（电衰竭），传导功能丧失； 当下降至l5ml/100g/M以下时，神经细胞膜离子泵衰竭（膜衰竭），细胞进入不可逆损害；当下降至l0ml/l00g/分以下时，细胞膜去极化，钙离子内流，细胞最终进入死亡。 左侧脑中动脉闭塞 MCA infarction: on CT an area of hypoattenuation appearing within six hours is highly specific for irreversible ischemic brain damage Hemorrhage is most easily detected with CT, but it can also be visualized with gradient echo MR-sequences. 采用梯度回波MRI序列检测超早期脑实质出血的准确性与CT相当 Hemorrhagic infarcts 15% of MCA infarcts are initially hemorrhagic Insular Ribbon sign This refers to hypodensity and swelling of the