经颅多普勒超声操作规范和诊断标准指南.pdfVIP

() 2008 4 5 2 Chin JM ed U ltrasound ( Electronic V ersion), April2008, Vol 5, No. 2 # 97# # # 华扬 高山 吴钢 潘旭东 钱素云 ( transcranial Doppler, TCD) (), . : 2. : : . 6~ 2. 0 MH z , 4. 0~ 8. 0 MH z . 6 MH z 2. 0 MH z, , 5% ~ 0% , 20~ 25mm : ( ): , , , ( m iddle cerebral artery, MCA ) (-A , anterior cerebral artery, ACA ) ( posterior cerebral artery, PCA ) ( internal cerebral artery term ina,l ICA t), ( anterior communicating artery, A coA ) ( posterior communicating artery, PcoA); ( 2): , 5% ~ 0% ; ( ophthalm ic artery, OA ) ( carotid siphon, CS), ACA MCA; ( C )( C )( C ); ( 3): 4 3 2 , cm , , ( vertebral artery, VA)( posterior inferior cerebella artery, PICA ) ( basilar artery, BA ) : ( ) : , ( common carotid artery, CCA ), , 45b, () , 20 mm 30~ 40 mm(), , ( external carotid artery, ECA ) , ( ICAex), : 00053 , ( ); (); (); () ; () () 2008 4 5 2 Chin JM ed U ltrasound ( Electronic V ersion), April2008, Vol 5, No. 2 # 98# ; ( 2) : - 3. : TCD( ) : ; ( 2) : cm /s, ( peak velocity systolic velocity, Vp Vs)(m ean velocity, Vm )( end of diastolic velocity, Vd); ( 3): , , , ; , ; , ; ( 4) ( PI)(R I): P I R I , P I= Vp- Vd/Vm, R I= Vp- Vd/Vp; TCD PI, PI0. 65~ . 0; ( 5) : , , , , , , , , ; ; ( 6) : , , , ; TCD() , , / 0 4. : , , MCA: , 30~ 65 mm, 40~ 60 mm, , CCA, ICA t: MCA, 60~ 70mm , ICA , MCA, ACA; , , ACA , , ICA t CCA , ACA: ICA t, 60~ 75 mm, , , , ACA 70~ 85 mm, ACA AcoA , CCA, ACA , ACA , , , , 5b~ 30b, 60~ 70 mm, ICA t () 2008 4 5 2 Chin JM ed U ltrasound ( Electronic V ersion), April2008, Vol 5, No. 2 # 99# MCA ( 80~ 90 mm ), CCA , ACA , MCA PCA: 55 ~ 70 mm, MCA ACA, , MCA ACA, , PCA ( P ), ,