^(99m)Tc-ECD SPECT脑血流灌注显像在急诊脑血管疾病中的应用  

^(99m)Tc-ECD SPECT CEREBRAL BLOOD PERFUSION LMAGINATION IN PATIENTS WITH ACUTE CEREBRALVASCULAR DISEASE

作　　者：许学霖[1] 刘健[2] 吴继琮[1] 

机构地区：[1]上海第二医科大学附属新华医院急诊科,上海200092 [2]上海第二医科大学附属新华医院核医学科,上海200092

出　　处：《急诊医学》1996年第4期217-219,共3页

摘　　要：对急诊22例脑血管疾病SPECT脑血流灌注显像，结果表明，急性脑血管疾病阳性率为95．5％（21／22），仅腔隙性梗塞1例阴性；SPECT与X线CT显像相比较：7例部位相符，6例前者脑缺血的范围大于后者，8例发现了X线CT未能显示的血流减低区，其中5例X线CT无异常，而SPECT均有阳性发现。说明SPECT提供的是功能资料，因为它显示了可恢复的功能停滞的神经元；而X线CT只能提供静态的解剖资料，所以前者在损害早期优于后者。确认本方法有助于早期诊断及显示发生供血障碍的脑组织范围。On 22 cases with acute cerebralvascular diseases, the SPECT cerebral blood perfusion imagination was performed. The positive rate of SPECT imagination in those patients as 21/22 in SPECT imagination the decreased blood perfusion area as clearly demonstrated in the majority of patients with acute cerebralvascular diseases.However, in X-ray CT scan the larger anatomical diagnosis as seen only in those patients of much more severe status. It was accepted that the recovered functional stagnated neurons might be clearly presented 1n SPECT imagination. These data suggested that in the early diagnosis of patients acute cerebral tissues damaged due to blood supply mini-dysfunctional. This technique seemed to be beneficial. Likewise, our finding suggested that in the prevention and treatment aspects of patients with cerebralvascular diseases SPECT imagination appeared to be useful clinically.

关 键 词：SPECT 脑血流灌注 急诊 脑血管疾病 锝99M 

分 类 号：R743.04[医药卫生—神经病学与精神病学] R816.1[医药卫生—临床医学]