经颅多普勒与彩色多普勒超声联合应用对锁骨下动脉盗血综合征的血流动力学观察临床医学.docVIP

经颅多普勒与彩色多普勒超声联合应用对锁骨下动脉盗血综合征的血流动力学观察临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：经颅多普勒与彩色多普勒超声联合应用对锁骨下动脉盗血综合征的血流动力学观察临床医学 1 1 资料与方法 3 2 结果 4 3 讨论 5 文2：残余脑血流的血流动力学模型研究 6 1 材料和方法 7 参考文摘引言： 13 原创性声明（模板） 14 文章致谢（模板） 14 正文 经颅多普勒与彩色多普勒超声联合应用对锁骨下动脉盗血综合征的血流动力学观察临床医学 文1：经颅多普勒与彩色多普勒超声联合应用对锁骨下动脉盗血综合征的血流动力学观察临床医学 ［Abstract］ Objective To discuss the diagnostic value of using TCD combined with Doppler blood flow imaging to examine the subclavian steal Twenty-four cases of subclavian steal syndrome were diagnosed by clinical examination，ultrasound and related laboratory cases were examined by digital subtraction angiography（DSA），and 10 cases were examined by magnetic resonance angiography（MRA）.We observed the changes of blood direction and frequency spectrum in the skull part of vertebral artery by TCD，the iide membrane and diameter of the vertebral artery outside skull part，carotid artery，subclavian artery and innominate artery were displayed by 2-dimeional ultrasound，and the blood direction and flow velocity were detected by color Doppler Eighteen cases were found to have reveal flow of the vertebral artery with increased flow velocity during the functional test of the involved upper cases were found to have normal direction of flow，but in the functional test of the involved upper limb，the reveal flow peak value of the ill vertebral artery increased，or the direction of flow turned from normal to ultrasound showed that 90% of subclavian steal syndrome were caused by arteriosclerosis，10% caused by TCD has the advantages of intuitionistic，quick and exact to diagnose subclavian steal syndrome，which provides the pathogeny，ill part and degree of disease combined with 2-dimeional ultrasound and color Doppler ultrasound. ［Key words］ subclavian steal syndrome;TCD;color Doppler ultrasound 锁骨下动脉盗血（SSS）导致椎-基底动脉供血不足而引起头晕现象在临床上并不少见。严重者也可出现颈内动脉系统缺血症状，如偏瘫、偏身感觉障碍和失语等。因此早期发现锁骨下动脉盗血存在，对及时采取合理的 治疗 非常重要［1］ 1 资料与方法 一般资料 本组患者24例，男19例，女5例；年龄42～76岁，平均62岁。主诉：头晕、视力模糊、患肢无力