颌面颈部肿瘤与颈动脉外科

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:(200433):(1942-),,,,.TheRelationofMaxillofacial2neckedTumorstoCarotidSurgery:R739.8:A:100524979(2003)0320189204,,,,;,,,,:11.1,,,Willis,,,,52%,48%,,1.21.2.1,;,1.2.2,Konno[1]156,1015%2015%,,1.2.3(),,,,1.31.3.1,Moore88,125243%,25%;53804448%36%1.3.2,2:(1)Matas:Matas1911,1015min,,,(2):,1015min,2003133189,,,:,;Willis,,,,:,,615718kPa[2],,(CCASP):,,Hays[3]615kPa,6167kPa[4],2,:(REG)[5],,,,30min,(CREG)30%,(EEG):,EEG,,,(TCD):TCD,,,WillisCole[6]:35s,,MCA()65%,,TCD,(DSA):DSA,,(SEP):SEP,50%[7],SEP(BOT):,Matas,Matas(SPECT):99HMPAO()99ECD(),,SPECT,SPECT,,(CT):,,,Matas,,,::(EEG)(TCD)DSA(BOT)Matas(CCASP)(SPECT),,[8],[9][10],1902003133,,3(),,,,,3.1(TeflonCore2Tex),,,,,;,;,,,,,,,3.2(1):,,,(2),,;,,1cm,,(3),12cm,11000(4),,2,2,Shunt(Javid)2,,,6-0(5),,2,,,,,(),,:,Shunt2,,6-0,,,,,,,,44.1,,;,4.212,,,,;,,4.348h,,Willis,20031331914.4,,,,,,,,,:[1]KonnoA,TogawaK,IizukaK.Analysisoffactorsaffectingcomplicationsofcarotidligation[J].AnnOtolRhinolLaryngol,1981,90(3Pt1):222.[2]SandBJ,BarkerWF,FreemanLW,etal.Ophthalmicar2terialbloodpressuresmeasuredbyocularplethysmody2namography[J].ArchSurg,1975,110(7):813.[3]HaysRJ,LevinsonSA,WylieEJ.Intraoperativemeasure2mentofcarotidbackpressureasaguidetooperativeman2agementforcarotidendarterectomy[J].Surgery,1972,72(6):953.[4],,,.[J].,2002,20(1):24.[5].[J].,1993,20(1):16.[6]GillerCA,MathewsD,WalkerB,etal.Predictionoftol2erancetocarotidarteryocclusionusingtranscranialdopplerultrasound[J].JNeurosurg,1994,81(1):15.[7]ThielA,ZickmannB,StermannWA,etal.Cerebrovascu2larcarbondioxidereactivityincarotidarterydisease:Rela2tiontointraoperativecerebralmonitoringresultsin100carotidendarterectomies[J].Anesthesiology,1995,82(3):655.[8],,.[J].,2000,14(4):236.[9],,.[J].,1999,15(3):154.[10],,.[J].,2000,14(5):306.::2003-04-082004,()-,;2004,16,96,,28,20045100,420100,,4-352,:389:200065:(021)56051080-2214/:0212661030271922003133

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