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Surface tear of the endomembrane and atherosclerotic plaque induced by balloon dilatation, mechanical expansion and carotid sinus draw-off can adjust compliance of the carotid wall, change sensitiveness of carotid artery receptor, cause instability of hemadynamics and defluxion of plaque fragments, lead to hypotension, bradycardia, hypertension and vascular embolism. How to control and reduce occurrence of above-mentioned complications is a main problem in present studies.

但由于球囊扩张、支架置入机械扩张和牵拉,颈动脉窦引起内膜和动脉粥样硬化斑块的表面撕裂,调整了颈动脉壁顺应性,改变了颈动脉受体的敏感性,引起血液动力学不稳定和斑块碎片脱落,引起低血压、心动过缓、高血压及血管栓塞等并发症,如何控制和减少上述并发症的发生是目前研究的主要问题。

Result: Among 40 cases of hyperpiesia, there are 32 cases with arteria carotis atherogenesis in different extent, and its incidence is 80%; Among 32 cases of cerebral vessels diseases: Twenty-one cases had arteria carotis atherogenesis, and its incidencewas 66%.

结果 40例高血压患者中,32例颈动脉有不同程度的粥样斑块形成,发病率80%;32例脑血管病变患者,21例颈动脉有不同程度的粥样斑块形成,发病率66%;糖尿病合并高血压18例糖尿病患者中,13例颈动脉有不同程度的粥样斑块形成,发病率72%;6例糖尿病患者中,2例颈动脉有不同程度的粥样斑块形成,发病率33%。

The patients were divided into cortex group, subcortex group, cortex and subcortex complex group and vertebrobasilar blood supply group according to brain CT or MRI...

结果脑梗死患者大部分存在颈动脉斑块及不同程度颈动脉狭窄。170例检出颈动脉斑块的患者中,以不规则、不均质性回声斑块多见(P.001)。

The initiation part of internal carotid artery and vagus were anatomized to find the depth of anesthetic infiltration in them. The cardiovascular effects of the dogs were observed during the carotid sinus chirapsia or stimulating vagus before and after cervical plexus block.

杂种犬20只,通过对犬实施一点法颈深丛神经阻滞麻醉,解剖颈内动脉起始部和颈部迷走神经,观察该麻醉下颈动脉窦和颈部迷走神经被麻醉药物浸润情况;观察麻醉前后颈动脉窦按摩,及麻醉后刺激颈部迷走神经对犬血压及心率的影响。

Plasma Ang Ⅰ and Ang Ⅱ levels, chymase mRNA levels, arteries' PCNA positive percents and the thickness of carotid artery were measured.

通过测定血浆Ang Ⅰ及AngⅡ住水平、糜酶 mRNA表达水平、颈动脉细胞增殖核杭原阳性率及颈动脉各层厚度观察曲尼司特对犬颈动脉损伤后狭窄的作用。

To pay attention to carry out effective cardiopulmonary resuscitation, hemostasis by compression and deep vein intubation rapidly in the initial stage of emergency. The carotid shunt tube plays an important role in severe carotid injury and re-establishment process. We use external jugular vein to transplant and re-establish,which are rung with artificial blood vessels for the long distance carotid injury and achieved the best result. We expose as fully as possible for the hepatic venae and the posthepatic post caval injury,and adopt effective methods to stop bleeding and repair. The application of blood shunt pump could raise the success rate for those severe patients. The self-double vastransplantation with both ends being all trousers-style one opening solve some problems such as there are no suitable caliber self-transplantation blood vessels and the artificial blood vessels are easy to occur obliteration for long-term and so on for the great or middle blood vessels.We use improved Fogarty duct and anterograde intubation to eliminate thrombus could eliminate thrombus effectively and avoid accessory injury for the deep vein injury and extensive thrombosis.

抢救初期要注意进行有效的心肺复苏、压迫止血和快速进行深静脉插管;颈动脉转流管在严重颈动脉损伤重建过程中有重要作用;对长距离颈动脉损伤用颈外静脉移植外环包人造血管重建,可取得最佳效果;对肝静脉及肝后下腔静脉损伤,要充分暴露,采用有效方法止血和修复,对病情极危重的凶险性出血者,血液转流泵的应用可提高成功率;对大、中血管损伤,两端均为裤式单开口自体双血管移植,解决了无适宜口径自体移植血管和应用人造血管远期易闭塞等问题;对深静脉损伤并广泛血栓形成者,应用改进的Fogarty导管和顺行插管取栓法,可有效取栓并避免了副损伤。

To pay attention to carry out effective cardiopulmonary resus-citation,hemostasis by compression and deep vein intubation rapidly in the initial stage of emergency.The carotid shunt tube plays an important role in severe carotid injury and re-establishment process.We use external jugular vein to transplant and re-establish,which are rungwith artificial blood vessels for the long distance carotid injury and achieved the best result.We expose as fully as possible for the hepatic venae and the posthepatic post caval injury,and adopt effective methods to stop bleeding and repair.The application of blood shunt pump could raise the success rate for those severe patients.The self-double vastransplantation with both ends being all trousers-style one opening solve some problems such as there are no suitable caliber self-transplantation blood vessels and the artificial blood vessels are easy to occur obliteration for long-term and so on for the great or middle blood vessels.We use improved Fogarty duct and anterograde intubation to eliminate thrombus could eliminate thrombus effectively and avoid accessory injury for the deep vein injury and extensive thrombosis.

抢救初期要注意进行有效的心肺复苏、压迫止血和快速进行深静脉插管;颈动脉转流管在严重颈动脉损伤重建过程中有重要作用;对长距离颈动脉损伤用颈外静脉移植外环包人造血管重建,可取得最佳效果;对肝静脉及肝后下腔静脉损伤,要充分暴露,采用有效方法止血和修复,对病情极危重的凶险性出血者,血液转流泵的应用可提高成功率;对大、中血管损伤,两端均为裤式单开口自体双血管移植,解决了无适宜口径自体移植血管和应用人造血管远期易闭塞等问题;对深静脉损伤并广泛血栓形成者,应用改进的Fogarty导管和顺行插管取栓法,可有效取栓并避免了副损伤。

Continuing inferiorly and anteriorly , the main trunk runs superficial to the internal carotid artery but deep to the jugular vein , external carotid artery , and styloid process to the deep surface of the stylopharyngeus muscle , which it innervates . The glossopharyngeal branch to the pharyngeal plexlus leaves the nerve trunk by the time it has crossed the stylopharyngeus muscle , and passes anteriorly and inferiorly between the internal and external carotid arteries to the main trunk to join branches of the Vagus Nerve and the cervical sympathetic nerves to form the pharyngeal plexus on the middle constrictor muscle at the level of the hyoid bone .

舌咽神经主干继续向下、向前走行于颈内动脉的表面、颈内静脉、颈外动脉及茎突的深面,横过茎突咽肌深面,绕该肌中部下缘弯向前行,并发出分支支配该肌,穿过茎突咽肌后,舌咽神经的分支一咽支脱离主干,向下向前走行于颈内动脉及颈外动脉分叉处,与迷走神经的分支及颈交感神经的分支一起组成咽丛,咽丛位于舌骨水平的咽中缩肌上。

Methods A total of 125 cases including 40 hypertension patients without LVH, 45 hypertension patients with LVH and 40 control subjects underwent color Doppler ultrasonography. Intima-media thickness, plaque and hemodynamic indices were respectively measured in the common carotid artery and its bifurcation, internal carotid artery and external carotid artery.

对134例受检者进行颈动脉超声研究,其中高血压病非LVH 32例,高血压并LVH 62例,正常对照组40例,分别测量各组颈部动脉总干内中膜厚度、分叉内中膜厚度、斑块以及两侧颈总动脉、颈内动脉、椎动脉的血流动力学指标。

Methods 11 cases with injury of carotid artery including four cases of ruptured carotid arteries with bleeding at the extracranial segment and seven cases of traumatic carotid-cavelTlOUS sinus fistula and/or formation of pseudoanearysm at the intracranial segment were studied.All cases were Confirmed by digital subtraction angiogrophyand were treated by IMIT with stent-graft.

对11例经数字减影血管造影诊断的颈动脉损伤病人进行皿管内治疗,其中颅外段颈动脉损伤4例、颅内段颈内动脉损伤7例,均采用覆膜支架封闭颈动脉破裂口,1例覆膜支架置入后发生移位而改为经静脉途径应用弹簧圈栓塞。

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