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对于急性缺血性中风的眼睛超声波:关注视神经膜直径和缺血侧相关性
Hande Asan1, Sehmuz Zengin2, Ozlem Dikme3
1Emergency Medicine, Sultan 2. Abdulhamid Han Training and Research Hospital, Istanbul, TUR.
Cureus
|November 3, 2025
概括
眼睛超声波 (OUS) 可以测量急性缺血性中风患者的视神经外直径 (ONSD). 脑中风病变的侧面与ONSD无关,这表明一只眼睛的测量足够.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 眼科医生 眼科 眼科
背景情况:
- 超声波设备在急救部门很常见.
- 眼睛超声波 (OUS) 是测量视神经外直径 (ONSD) 的可靠方法,它是内压力 (ICP) 的指标.
- 在急性缺血性中风患者中,可以出现升高的ICP.
研究的目的:
- 在急性缺血性中风患者中使用床边OUS评估缺血性病变侧面和ONSD之间的关系.
主要方法:
- 前性,单中心,横截面研究 (2016年7月至9月).
- 包括通过DWI-MRI诊断出急性缺血性中风的成年患者.
- 用10MHz线性传感器测量ONSD在地球球后面3mm.
主要成果:
- 招募了67名患者.
- 平均ONSD为4.85±0.90毫米 (右) 和4.86±1.01毫米 (左).
- 在右眼和左眼之间没有发现ONSD的显著差异,无论中风半球. 年龄,性别,症状持续时间和NIHSS得分也没有显著差异.
结论:
- 测量一只眼中的ONSD足以对急性缺血性中风患者进行评估.
- 缺血性中风侧面和ONSD值之间没有相关性.
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