經顱都卜勒超音波之神經重症應用：案例分析與文獻回顧

The Application of Transcranial Color-Coded Duplex Sonography in Neurointensive Care: Case Discussion and Literature Review

陳元森(Yuan-Sen Chen) ； 蔡翊新(Yi-Hsin Tsai) ； 洪偉禎(Wei-Jen Hong) ； 許依雯(I-Wen Hsu) ； 黃勝堅(Sheng-Jean Huang)

《中華民國急救加護醫學會雜誌》 20卷1期 (2009/03) Pp. 1-12

https://doi.org/10.30018/JECCM.200903.0001

摘要

對於神經重症病患之監測系統發展迅速，而經顱都卜勒超音波扮演著舉足輕重的角色，其「即時、安全、經濟、可重覆執行與連續性監測」等特性，可提供與電腦斷層互補的資訊，且有助於臨床決策與用藥的調整。本文回顧經顱都卜勒超音波的發展、原理、操作，探討使用在頭部外傷、腦中風等神經重症照護時的臨床意義，並提出三個案例介紹它的臨床應用。

關鍵字

神經重症照護 ； 彩色經顱都卜勒超音波 ； 經顱都卜勒超音波

並列摘要

Transcranial Doppler (TCD) and transcranial color-coded duplex sonography (TCCS) play a significant role among monitor systems in current neurointensive care. They provide real-time, safe, economical, reproducible and continuous monitoring of cerebrovascular characteristics in patients hospitalized in neurological and neurosurgical intensive care units. This article reviews the development, principle and use of TCD and TCCS, elaborates the clinical significance of the data obtained from patients with head injury and cerebrovascular events, and demonstrates their clinical use with three cases.

並列關鍵字

neurointensive care ； transcranial color-coded duplex sonography TCCS ； transcranial Doppler TCD