The application of transcranial Doppler in predicting prognosis of patient with spontaneous intracerebral hemorrhage
- VernacularTitle:经颅多普勒超声在自发性脑出血预后判断中的应用
- Author:
Yaping JIANG
;
Xiaoping YIN
;
Qiong GAO
;
- Publication Type:Journal Article
- Keywords:
Transcranial Doppler;
Intracerebral hemorrhage;
Brain death;
Prognosis
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2003;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of transcranial Doppler(TCD)in the prediction of the outcome and determination of brain death in patient with spontaneous intracerebral hemorrhage. Methods The waveforms and the cerebral blood flow velocities of the bilateral middle cerebral arteries(MCA)were monitored and analyzed using EME TCD in 68 comatose patients with Glasgow scores ≤7. Results The results showed that persistence of retrograde diastolic flow or small systolic forward flow in bilateral MCA lasted for more than 1 hours were observed in 28 cases of comatose patients, which was a reliable indicator for predicting or confirming brain death. Asymmetrical TCD waveforms were characteristically associated with the localized brain damage. Conclusion TCD monitoring is a useful technique for predicting outcome and guiding treatment of patient with spontaneous intracerebral hemorrhage.
