【摘要】：正例1患者,女,71歲,因"左側(cè)頸內(nèi)動(dòng)脈重度狹窄"擬在全麻下行"頸動(dòng)脈內(nèi)膜剝脫術(shù)"�；颊�5個(gè)月前因左側(cè)半卵圓中心腦梗死導(dǎo)致右側(cè)偏癱。3個(gè)月前入我院擬行"頸動(dòng)脈支架置入術(shù)",術(shù)中造影時(shí)發(fā)生碘造影劑過敏性休克,遂終止手術(shù),治療好轉(zhuǎn)后出院。頸動(dòng)脈內(nèi)膜剝脫術(shù)中使用經(jīng)顱多普勒超聲(transcranial Doppler,TCD)分別在54mm及44mm兩個(gè)深度監(jiān)測(cè)左側(cè)大腦中動(dòng)脈(middle cerebral artery,MCA)血流速度,于有創(chuàng)動(dòng)
[Abstract]:Case 1, female, 71 years old, due to "severe stenosis of left internal carotid artery", "carotid intimal stripping" under general anesthesia. Five months ago, the patient suffered from right hemiparesis due to left hemicircular central cerebral infarction. Three months ago, he was admitted to our hospital for "carotid stenting". Anaphylactic shock of iodine contrast agent occurred during intraoperative angiography, so the operation was terminated and the treatment was improved and discharged from hospital. Transcranial Doppler ultrasound (transcranial Doppler,TCD) was used to monitor the blood flow velocity of left middle cerebral artery (middle cerebral artery,MCA) in 54mm and 44mm, respectively, and invasive motion was used in carotid endarterectomy.
【作者單位】： 首都醫(yī)科大學(xué)宣武醫(yī)院麻醉科;
【分類號(hào)】：R614

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