经颅多普勒系列第五部分:特殊应用

H. Nicoletto, L. S. Boland
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引用次数: 8

摘要

摘要经颅多普勒(TCD)在诊断蛛网膜下腔出血患者血管痉挛和镰状细胞病儿童血管病变方面的作用是众所周知的。然而,还有一些鲜为人知的TCD研究。气泡研究检测右至左分流。头部旋转研究评估椎动脉外源性压迫。二氧化碳挑战和屏气研究评估血管舒缩储备。反应性充血研究有助于诊断锁骨下窃血。栓子监测可以检测到脑血流中可能存在的任何颗粒。
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Transcranial Doppler Series Part V: Specialty Applications
ABSTRACT. Transcranial Doppler (TCD) is well known for its usefulness in diagnosing vasospasm in patients with subarachnoid hemorrhage and vasculopathy in children with sickle cell disease. However, there are some lesser known TCD studies. Bubble studies detect right to left shunts. Head rotation studies evaluate for extrinsic compression of the vertebral arteries. CO2 challenge and breath holding studies evaluate vasomotor reserve. Reactive hyperemia studies help diagnose subclavian steal. Emboli monitoring detects any particulates that might be present in the cerebral blood flow.
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