Transcranial Doppler (TCD)

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Transcranial Doppler(TCD)

• ? ??? ??? ???? ???? ??? ????
• ?? ??, ??? ?? ??? ?? ??? ???
• ? ????, ??? ??? ???? ???
• ??? ??? ????, ???? ? ??????
• ??? ??? ????, ?????, ?????
• ? ?????? ??? ??? ??? ??? ??
• ??? ??? ??(??, ??, ??, ???, ??
• ?)? ????? ???? ???? ???? (?
• ?? ??) ??? ??? ??? ?? ???? ?
• ?? ??? ????? ???? ??? ? ??.

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TCD ????

1. ??? ??? ??
2. ??, ????
3. ??? ??? ?????? ??
4. CO2 ??? ?? ???? ????? ?? ?????, ????? ?? ?????
5. ??? ????(TIA, Transient Ischemia Attack) ??
6. ?? ?? (ICP, Intra Cranial Pressure) ??
7. ??? ??? ??
8. ??????(???? ????, ???? ?)
9.  ????
10. ?? ???, ????, ?? ???? ???? ?

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????? ?? ??(??)? ??
???? ?? ??? ??? ????, ?? ?? ??? ?? ????
??? ???? ????? ??? ??? ???? ??

• ?? ?? ?? ??? ?? ??
  ?? ?? ??

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TCD? ??

• -?????? ???? ??? ??? ? ?? ??? ???
• ?, ???? ??? ?? ?? ???? ????? ????
• ????? ??? ????.
• -CT, MRI? ?? ???? ??? ??? ??.
• - ?? ?, ? ?? ??? ????, ???? Monitoring? ????.
• -?? ?? ? ?? ?, ?? ????? ????.
• -?? ??? ?? ?? ??? ???? 
• -??? ?? ??? ???? ??? ??? ??? ??? ??? ? ??.
• -???? ???? ?? ??? ????.

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• 8. ?????
• (anterior cerebral artery)
• 9. ??????
• (middle cerebral artery)
• 10. ????(foramen magnum)
• 11. ????
• (vertebral artery, ????)
• 12. ?????
• (basilar artery, ????)
• 13. ?????
• (posterior cerebral artery)
• 14. ?????
• (posterior communicating artery)

• 1. ???(aorta)
• 2. ?????
• (subclavian artery)
• 3. ????
• (brachiocephalic trunk)
• 4. ????
• (common carotid artery)
• 5. ????
• (external carotid artery)
• 6. ????
• (internal carotid artery)
• 7. ???(ophthalmic artery)

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Arteries of the brain
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(No Transcript)
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??????(Transtemporal approach)

• TCD? ??? ??? ???? ???? ??? ?? ???? ??? ???
  ???? ???. ???? ???? ????? ???? ??? ?? ??? ????
  ??? ??(posterior window), ?? ?? ??????
  ??(anterior window), ??? ?? ??? ??(middle
  window)? ?? ???? ???? ???? ???? ??? ?? ? ???.
  ???????? ???? ??? ? ???(middle cerebral artery),
  ????(anterior cerebral artery), ????(posterior
  cerebral artery)? ??.

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(No Transcript)
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?????(Transorbital approach)

• 2MHz? hand-held probe? ????. ???? ???? ???
  ???? ???? power? 17w/cm²? ?? ??? ??. ???? ?? ??
  ??? ???? ?? ? ????. ??????? ???? ???
  ???(opthalmic artery), ? ???(internal carotid
  artery)? ??.

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(No Transcript)
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??????(Suboccipital approach)

• ???? occipital protuberance ??? probe? ?? ?? ????
  ?????? ?? ??? ??? ????. ?????? ??? ????(vertebral
  artery), ????(basilar artery)? ??.

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(No Transcript)
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??????(Submandibular spproach)

• ??? ?? ???? ????? ??? ???? ? ??? hand-held
  4MHz probe? ?? ?? ???? ????(internal carotid
  artery) ? ???? (external carotid artery)? ????.

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(No Transcript)
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