【摘要】 目的 探讨脑循环中微栓(MES)子检测对预防急性脑血管病的临床价值。 方法 49例无明显脑血管意外神经系统损害患者，65例腔隙性脑梗死患者，30例急性脑血管病患者进行经颅多普勒(TCD)检查及脑微栓子检测。 结果 脑MES检出阳性率与年龄、心脑血管病的各种高危因素、脑动脉硬化及脑卒中的发生有明显相关。 结论 脑MES检测对发现脑卒中的高危人群及预防急性脑血管病有较好的临床价值。

    关键词 经颅多普勒 微栓子 急性脑血管病

    Clinical study of detecting cerebral microemboli to prevent acute cerebrovascular disease

    Gu Shenwei，Wang Ye

    Yueyang Integrated Chinese and Western Medicine Hospital Affiliated to Shanghai University of TCM，Shanghai200437.

    【Abstract】 Objective To study clinical value of detecting cerebral microemboli for preventing acute cere-brovascular disease.Methods TCD and the detecting cerebral microemboli were performed in49patients with non-nervous system syndrome;65patients with cerebral lacunar infarction and30patients with acute cerebrovascular dis-ease.Results MES positive rate was obviously associated with various high-risk factors in cardio-cerebrovascular disease，cerebral arteriosclerosis，ischemic stroke and the age.Conclusion Detecting cerebral microemboli has high-er value for finding the high-risk patients with various strokes and preventing acute cerebrovascular disease. ......