2008Journal of clinical researchRequires access

Prognostic value of Transcranial Doppler examination in acute intracerebral hemorrhage

Hua-xin Ding

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Abstract

【Objective】To inspect the dynamics parameter in brain blood stream by transcranial Doppler(TCD) in the patients with acute brain hemorrhage,to investigate the relativity among the parameter,hematoma amount,and GCS count,and then to evaluate the value of TCD examination in the prognosis of acute brain hemorrhage.【Methods】Double cerebral median of spontaneous acute brain hemorrhage patients which were in the disease within 12 hours were detected by TCD and were evaluated as GCS count,all the patients(78 cases)involved had been made final diagnosis by CT before that.【Results】PI value of double cerebral median in TCD detection ascended significantly,and the value of Vd and Vm descended,the Vs had no obvious changes.Through the dependability analysis there were no obvious differences among the Vd,Vs,Vm and the amount of hematoma(aPi0.001,wPi P0.001).The TCD parameter and the GCS count had the statistical significant differences in the Pearson analysis,and the value of PI was negative correlation(P0.0001).【Conclusion】The value of PI in the TCD detection could be looked as an effectively haemodynamic index in the cases with acute brain hemorrhage.

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【Objective】To inspect the dynamics parameter in brain blood stream by transcranial Doppler(TCD) in the patients with acute brain hemorrhage,to investigate the relativity among the parameter,hematoma amount,and GCS count,and then to evaluate the value of TCD examination in the prognosis of acute brain hemorrhage.【Methods】Double cerebral median of spontaneous acute brain hemorrhage patients which were in the disease within 12 hours were detected by TCD and were evaluated as GCS count,all the patients(78 cases)involved had been made final diagnosis by CT before that.【Results】PI value of double cerebral median in TCD detection ascended significantly,and the value of Vd and Vm descended,the Vs had no obvious changes.Through the dependability analysis there were no obvious differences among the Vd,Vs,Vm and the amount of hematoma(aPi0.001,wPi P0.001).The TCD parameter and the GCS count had the statistical significant differences in the Pearson analysis,and the value of PI was negative correlation(P0.0001).【Conclusion】The value of PI in the TCD detection could be looked as an effectively haemodynamic index in the cases with acute brain hemorrhage.

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Available abstract

【Objective】To inspect the dynamics parameter in brain blood stream by transcranial Doppler(TCD) in the patients with acute brain hemorrhage,to investigate the relativity among the parameter,hematoma amount,and GCS count,and then to evaluate the value of TCD examination in the prognosis of acute brain hemorrhage.【Methods】Double cerebral median of spontaneous acute brain hemorrhage patients which were in the disease within 12 hours were detected by TCD and were evaluated as GCS count,all the patients(78 cases)involved had been made final diagnosis by CT before that.【Results】PI value of double cerebral median in TCD detection ascended significantly,and the value of Vd and Vm descended,the Vs had no obvious changes.Through the dependability analysis there were no obvious differences among the Vd,Vs,Vm and the amount of hematoma(aPi0.001,wPi P0.001).The TCD parameter and the GCS count had the statistical significant differences in the Pearson analysis,and the value of PI was negative correlation(P0.0001).【Conclusion】The value of PI in the TCD detection could be looked as an effectively haemodynamic index in the cases with acute brain hemorrhage.

Key concepts: Medicine, Transcranial Doppler, Intracerebral hemorrhage, Hematoma, Cardiology, Internal medicine, Anesthesia, Radiology

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