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经颅多普勒超声在重型颅脑创伤救治中的临床应用

Ruihao Li,Haijun Ren,Boru Hou,Wenzhen Yang,Dengfeng Wang,Xin Xue,Weixin Lu

Chinese Journal of Neurotraumatic Surgery (Electronic Edition)（2018）

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Abstract
重型颅脑创伤(sTBI)的临床监测手段多以体格检查、影像学检查为主,而这些手段无法迅速有效地诊断、监测sTBI病理生理过程.经颅多普勒超声(TCD)可以无创、实时地测量大脑大动脉的血流状态,获得脑血流动力学信息,通过分析脑血流速度及方向、血管自身调节功能、远端血管阻力变化来监测脑血管狭窄、痉挛程度并评估颅内压、识别脑死亡.本文围绕TCD在sTBI救治中的临床应用综述如下.
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Key words
transcranial doppler,injury
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