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患者女,74岁,反复头晕10+年,左侧指端麻木3+年。临床诊断为脑供血不足、颈椎病,经相关治疗无效。经颅多普勒超声(TCD)检查示:左侧椎动脉频谱完全反相,基底动脉频谱双相,右侧椎动脉血流频谱及速度位于正常范围,上述动脉普遍高阻,左侧椎动脉显著,动脉指数达2.56。左侧桡动脉频谱较右侧明显低平,左侧桡动脉脉搏明显弱于右侧,左侧血压100/65mmHg(1mmHg=0.133kPa),右侧血压130/75mmHg。
Female patient, 74 years old, dizziness 10+ years, the left side of the numbness 3 + years. Clinical diagnosis of cerebral insufficiency, cervical spondylosis, the relevant treatment is invalid. Transcranial Doppler ultrasound (TCD) examination showed: the left vertebral artery spectrum completely reversed, basilar artery spectrum biphasic, right vertebral artery flow spectrum and speed in the normal range, the general high impedance artery, left vertebral artery Significantly, the Arterial Index reached 2.56. Left radial artery spectrum was significantly lower than the right side of the right radial artery pulse was significantly weaker than the right side of the left blood pressure 100 / 65mmHg (1mmHg = 0.133kPa), right blood pressure 130 / 75mmHg.