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目的:现察脑出血病人脑血流变化规律及对临床的价值。方法:用~(99m)Tc-ECD SPECT对45例脑出血病人进行动态脑血流灌注显像。结果:45例病人全部阳性,100％有局限性缺血,64％有大脑皮质广泛血流灌注明显减低伴局限性相对高灌注,36％有CCD。动态观察68％的病例血流灌注有改善或明显改善。结论:脑血流灌注显像对于研究脑出血病人脑血流的变化规律和治疗观察有较大的价值。
Objective: To investigate the changes of cerebral blood flow in patients with intracerebral hemorrhage and its clinical value. Methods: Forty-five patients with intracerebral hemorrhage underwent dynamic cerebral perfusion imaging with ~ (99m) Tc-ECD SPECT. RESULTS: All 45 patients were positive with 100% localized ischemia, and 64% had extensive cerebral blood flow perfusion significantly reduced with relatively high perfusion and 36% had CCD. Dynamic observation of 68% of cases improved or significantly improved perfusion. Conclusion: Cerebral perfusion imaging is of great value in studying the changes of cerebral blood flow and treating the patients with intracerebral hemorrhage.