经颅多普勒在卒中溶栓治疗中的应用  

The Application of Transcranial Doppler in Stroke Thrombolytic Therapy

作　　者：薛爽[1] 周宝玉[1] 王国相[1] 

机构地区：[1]北京中日友好医院神经内科,100029

出　　处：《国际脑血管病杂志》2006年第10期741-744,共4页International Journal of Cerebrovascular Diseases

摘　　要：经颅多普勒在重组组织型纤溶酶原激活剂静脉溶栓和动静脉联合溶栓中可用于诊断和监测,判断动脉闭塞部位,选择适合溶栓的病例,监测动脉再通情况。经颅低频超声持续监测具有辅助溶栓的作用,目前在临床使用频率上还有争议。经颅超声辅以微气泡对比剂可进一步增强溶栓效果。Transcranial Doppler can be used for diagnosing, monitoring, identifying the site of arterial occlusion, selecting appropriate cases for thrombolysis, and monitoring arterial recanalization during intravenotts thrombolysis, and intra-arterial and intravenous thrombolysis with recombinant tissue plasminogen activator, The continuous monitoring of low frequency transcranial ultrasound has the effect of assisted thrombolysis; however, there are still controversies on the frequencies used in clinical practice. Transcranial Doppler assisted with microbubble contrast agent may further enhance the effect of thrombolysis.

关 键 词：经颅多普勒 卒中 溶栓 重组组织型纤溶酶原激活剂 

分 类 号：R743.3[医药卫生—神经病学与精神病学]