脑血管造影在缺血性脑卒中诊治中的应用及安全性分析  

Clinical Value and Safty of Digital Subtraction Angiography in Ischemic Cerebral Stroke

作　　者：张海涛[1] 高励[1] 刘西平[1] 张仲[1] 郝玉曼[1] 

机构地区：[1]成都市第三人民医院,四川成都610031

出　　处：《现代临床医学》2011年第1期39-40,共2页Journal of Modern Clinical Medicine

基　　金：成都市科技计划项目(2060402-93)

摘　　要：目的:评价脑血管造影(DSA)在缺血性脑卒中诊治过程中的应用价值及安全性。方法:缺血性脑卒中患者通过颈动脉及经颅多普勒超声检查提示明显狭窄后,接受脑DSA检查,观察临床结果及并发症发生。结果:284例符合标准的缺血性脑卒中患者接受脑DSA检查,共明确168例患者存在明显不同部位血管狭窄,39例合适患者进行了支架成型术;2例术中发生短暂的血管痉挛,8例出现穿刺部位皮下瘀斑、血肿。结论:脑DSA是缺血性脑卒中具有临床诊治意义的检查手段,严格掌握检查指征则应用安全。Objective：To evaluate the clinical value、safty and outcomes of cerebral digital subtraction angiography（DSA） in ischemic cerebral stroke.Methods：The patients of ischemic cerebral stroke had DSA after artery stenosis were detected by Doppler Ultrasound exam.And the clinical evaluation was performed.Results：Selected 284 patients of ischemic cerebral stroke with DSA examination,168 patients were proved serious artery stenosis,of witch 39 patients underwent stent treatment.Two artery spasm and eight hypodermic bleeding were observed along with exam.Conclusion：DSA is a valuable screening exam for patients with ischemic stroke.To suitable patients,DSA is a safe procedure.

关 键 词：缺血性 脑卒中 脑血管造影 

分 类 号：R743.31[医药卫生—神经病学与精神病学]