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タイトル虚血性脳血管障害急性期における Dynamic CT Scan の有用性
タイトルヨミキョケツセイ ノウケッカン ショウガイ キュウセイキ ニ オケル dynamic CT scan ノ ユウヨウセイ
タイトル別表記The useful of dynamic CT scan on the actue stage of ischemic cerbrovascukar disease
作成者山下, 勝弘
安達, 直人
湧田, 幸雄
秋村, 龍夫
河野, 克典
長光, 勉
作成者ヨミヤマシタ, カツヒロ
アダチ, ナオト
ワクタ, ユキオ
アキムラ, タツオ
カワノ, カツヒロ
ナガミツ, ツトム
作成者別表記Yamashita, Katsuhiro
Adachi, Naoto
Wakuta, Yukio
Akimura, Tatsuo
Kawano, Katsunori
Nagamitsu, Tsutomu
作成者所属山口大学医学部
内容記述(抄録等)CT scan offers only pictorial information, but dynamic CT scan, which consists of intrabenous bolus injection of the contrast medium and high speed sequence scanning, offers information on the careful circulation. We performed dynamic CT scan on the actue stage of 40 cases of ischemic cerebrovascular disease and it was very useful in the evaluation of the cerebral circulation and in establishing a therapeutic plan. The time-density curve of dynamic CT scan was divided into three types by peak (P) value of the curve. In type A cases, the difference between the curves of the affected side and the non-affected side was not recognized, and the prognosis of these cases was verygood even by conservative therapy. In type B cases, the peak value of the affected side was in the range of 30 to 70% of the non-affected side, and a decreasein cerebral blood flow was suggesuted. In these cases, no low density srea appeared in plain CT scan and the neurological signs improved when the cerebral blood flow recovered, whereas a low density area appeared when the carebral blood flow did not recover. In type C cases, the curve of the affected side was nearly flat and a marked decrease in the cerebral blood flow was suggested. In these cases a low density area on plain CT scan appeared immediately and the prognosis was very poor. The ecaluation of the time-density curve of dynamic CT scan indicated actue cerebral revascularization in the cases where Type B curves were shown.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
38
4
開始ページ287
終了ページ301
発行日1989-08
著者版/出版社版その他
リポジトリIDB030038000403
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030038000403