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Optic Nerve Sheath Point of Care Ultrasound: Image Acquisition
Published on: August 18, 2023
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视神经外直径在急诊室中风中的预后作用,一个病例对照研究
A Batur1, M A Karaca1, V Arslan1
1Department of Emergency Medicine, Hacettepe University, Faculty of Medicine, 06120 Altindag Ankara, Turkey.
Nigerian journal of clinical practice
|August 28, 2023
概括
光神经外直径 (ONSD) 超声波有效地预测了急性缺血性中风 (AIS) 中内压力 (ICP) 和神经病重症监护室 (NICU) 需求的增加. 升高的ONSD也表明AIS患者的死亡风险更高.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 临界护理医学 临界护理医学
背景情况:
- 视神经外直径 (ONSD) 的超声波测量提供了对内压力 (ICP) 的间接评估.
- ONSD可以帮助确定是否需要进入神经病重症监护室 (NICU),并预测急性缺血性中风 (AIS) 的死亡率.
研究的目的:
- 评估ONSD在预测AIS诊断患者的死亡率,发病率和NICU需求方面的有效性.
- 为了将ONSD测量与中风分类和患者结果相关联.
主要方法:
- 在患有AIS的成年患者身上进行了超声波ONSD测量.
- 患者使用牛津郡社区中风项目 (OCSP) 系统进行分类.
- 用MRI来评估增加的ICP,将患者分为增加的ICP (i-ICP) 和正常的ICP组.
主要成果:
- 总共分析了105名患者,其中35.2%在i-ICP组.
- 与正常ICP组相比,i-ICP组 (5.26毫米) 的中位数ONSD显著高于正常ICP组 (4.62毫米).
- 较高的ONSD与增加的ICP,NICU入院,特定中风亚型 (TACI) 和死亡率相关.
结论:
- ONSD是预测AIS患者升高的ICP和NICU入院率的有价值工具,特别是在OCSP小组中.
- 超声波ONSD测量作为预测急性缺血性中风死亡率的可靠指标.
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