56 CT 1. 6 CTA ± NAscET 7 CT /MRI D-d /D 100% D d CTA ± P > < 30% 2 30% ~ 24

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1 55 论著张涛, 周华东, 王延江, 蒋晓江, 许志强, 易旭 CT /MRI P < R A X DOI /j. issn X Relationship between Occurrence of Lacunar Infarction and Carotid Atherosclerotic Plaque in Elderly Patients ZHANG TaoZHOU Hua-dong WANG Yan-jiangJIANG Xiao-jiangXU Zhi-qiangYI Xu Department of NeurologyInstitute of Combat SurgeryDaping HospitalThird Military Medical UniversityChongqing China AbstractObjective To observe the occurrence characteristics between lacunar infarction and carotid atherosclerotic plaque in elderly patients. Methods During March 2012 and September 2013after CT or /and MRI examinations268 elderly patients 65 years old were chosen as observation groupwho were diagnosed as having lacunar infarction complicated by carotid atherosclerotic plaque 207 elderly patients were chosen as control groupwho were diagnosed as having lacunar infarction. Disease characteristics of the two groups were comparedand distribution positions nature and corresponding angiostegnosis of carotid atherosclerotic plaques in the observation group were analyzed. Results Prevalence rates of hypertensiondiabetesblood lipid disorders and coronary heart disease in observation group were significantly higher P < 0. 01the main distribution position was in carotid sinusand the spots existed mainly on the left side the most spots were hardand the hard spots mostly existed in internal carotid artery of siphon soft spots mostly existed in carotid sinus. The incidence rate of mild stenosis was higher than those of moderate and severe stenosis. Conclusion Atherosclerotic plaque and arterial stenosis play an important role in elderly patients with lacunar infarction The occurrence and development of elderly patients with carotid atherosclerosis plaque or the lacunar infarction can be prevented by controlling hypertensiondiabetesblood lipid disorders. Key wordsstroke lacunar Coronary artery disease Plaqueatherosclerotic Aged 2 1 /4 5% ~ 20% 1 / cstc2010ab zhouhuad@ 163. com CT /MRI

2 56 CT 1. 6 CTA ± NAscET 7 CT /MRI D-d /D 100% D d CTA ± P > < 30% 2 30% ~ 24 h CTA 69% 3 70% ~ 99% D 100% D d ~ 29% 2 30% ~ 49% 3 3 4CTA 50% ~ 79% 4 80% ~ 99% CT 3 TC mmol /L TG mmol /L + + LDL-C mmol /L HDL-C < mmol /L ESC /ESH 140 mmhg / 1. 7 SPSS ± 90 mmhg 4 x ± s % χ 2 2 α = CTA GE Lightspeed VCT 64 CT MRI SIE CTA The wartfarin-aspirin Symptomatic Intracranial Disease studywasid D-d / CT 120 Hu CT < 120 Hu 2. 1 MENS TRIO CTA P < gauge 4 ml /s 1 2 Omnipaque Iohexol 300mgl /ml Nyeomed Amersham Buekinghamshire u. n = 268 n = 207 χ 2 P K. 100 ml % % 120 kv 150 ma ~ < mm < < ADw < < STSMIP

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5 59 1Jackson CSudlow C. Are lacunar strokes really different A systematic review of differences in risk fact or profiles between lacunar and nonlacunar infarcts J. Stroke J M J M Gibo HLonkey CRhoton A L Jr. Microsurgeon anatomy of the subarachnoid portion of the internal carotid artery J. J Neurosurgeon J Lagunitas PBerenice A. Arterial anatomy Introduction in Surgical neuroangiography functional anatomy of 5Giuseppe MGuy D BAnna Det al Guidelines for them anagement of arterial hypertension J. Eur Heart J J Anonymous. Beneficial effects of carotid endarterectomy in symptomatic patients with high grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators J. N Eng J Med J J J J hs-cpr J Liepsch D. An introduction to bio-fluid mechanics basic models and applications J. J Bio mech Kariono TGoldsmith H L. Particle flow behavior in models of branching cessels effects of branching angle and diameter ratio on flow Patterns J. Biorheology Cheng CTemPel Dvan HaPeren Ret al. Atherogenicity lesion size and vulnerability are determined by Patterns of fluid shear stressj. Circulation Wong K S. Use of transeranial dopper to predict outcome in patients with intracranial large-artery occlusive disease J. Stroke craniofacial arteriesm. Berlin Springer-VerIag Meng SCosta LGeyer S Het al. Three-dimensional 2 description and mathematical characterization of the parasellar internal carotid artery in human infants J. J Anat

357 P <. 5. TCD findings revealed that the contralateral vertebral artery systolic blood flow velocities in patients with phase Ⅰ Ⅱ and Ⅲ steal groups

357 P <. 5. TCD findings revealed that the contralateral vertebral artery systolic blood flow velocities in patients with phase Ⅰ Ⅱ and Ⅲ steal groups 356 TCD 212 3 215 4 TCD 45 TCD 8 Ⅰ 21 Ⅱ 11 Ⅲ 5 4 45 6 2 Ⅰ 12 9 Ⅱ 3 7 1 Ⅲ 3 2 r =. 78 P