断层扫描尺度与血管和延迟大脑缺血症在动脉瘤下arachnoid出血之间的相关性
Milagros Gomez Haedo1, Pedro Grille1, Gastón Burghi1
1Intensive Care Unit, Hospital Maciel, ASSE - Montevideo, Uruguay.
Critical care science
|December 22, 2023
概括
超声波血管在动脉瘤下arachnoid 出血后很常见,并预测延迟的大脑缺血症. 克拉森和希德拉尺度比费舍尔尺度更好地预测血管.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 关键护理医学 关键护理医学
背景情况:
- 动脉瘤下关节出血 (aSAH) 是一种危急的情况,通常导致延迟大脑缺血症 (DCI).
- 早期发现和预测DCI对于患者的治疗结果至关重要.
- 超声波血管和断层扫描尺度用于评估风险.
研究的目的:
- 在aSAH患者中确定超声波血管和DCI的患病率.
- 评估断层扫描尺度 (Claassen,Hijdra,Fisher) 与这些并发症之间的相关性.
- 确定DCI和神经系统恶化的预后因素.
主要方法:
- 对57名入住重症监护室的aSAH患者进行前性研究.
- 对超声波血管发病率的分析.
- 对放射性延迟大脑缺血的评估.
- 断层扫描尺度与血管/缺血之间的相关性分析.
主要成果:
- 60%的患者发生了超声波血管,与DCI和死亡率有关.
- 克拉森和希德拉尺度显示了比费舍尔 (0.62) 更好的血管预测 (AUC 0.78,0.68).
- 56.1%的人患上脑梗塞;不良的入院度,血管和严重程度是重要因素. 希德拉尺度与放射性DCI相关 (p=0.009).
结论:
- 与费舍尔尺度相比,克拉森和希德拉尺度为大脑血管提供了优越的预后性能.
- 超声波血管作为早期DCI检测的潜在的非侵入性标志物.
- 早期检测有助于管理aSAH患者的神经系统恶化.
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