摘要
目的：探讨心脏手术后神经系统并发症的发生率、死亡率、种类、危险因素及防治方法。方法：回顾分析心脏手术１０１７３例，统计术后神经系统并发症的发生率、死亡率和种类；与对照组比较，对术后神经系统并发症的危险因素作统计学处理。结果：本组心脏手术后神经系统并发症的总发生率为１．４４％（１４６／１０１７３例），其中脑血管病占５２．７４％（７７／１４６例），缺氧性脑损害占２２．６０％（３３／１４６例），癫痫占８．９１％（１３／１４６例），其他占１５．７５％（２３／１４６例）。神经系统并发症组死亡４４例，占全部术后死亡的６．９４％（４４／６３４例），列术后死亡原因第５位。与对照组比较，并发症组术中心肌血流阻断时间和体外循环转机时间明显长于对照组（Ｐ＜０．０１）。结论：心脏手术后神经系统并发症以脑血管病为主。缩短术中心肌血流阻断时间和体外循环转机时间，可减少心脏手术后神经系统并发症发生。
Aim:This study was to assess morbidity,mortality,risk factors,prevention and treatment of neurological complications(NC)in patients undergoing cardiopulmonary bypass(CPB).Clinical material and method:10173 records were studied retrospectively for analysis of NC after open heart surgery.Results:After CPB surgery,occurrence of NC was 1.44%(146/10173),in which cerebrovascular disease was 52.74%(77/146),anoxic brain damage was 22.60%(33/146),epilepsy was 8.91%(13/146) and other abnormalities 15.75%(23/146).Mortality rate of NC group was 6.94%.Aortic clamping time and CPB time of NC group were much longer than the controls(P< 0.01 ).Conclusion:The main neurological complications after CPB surgery are cerebrovascular disease,anoxic brain damage and epilepsy.The risk factors of postoperative neurological complications are longer aortic clamping time and CPB time during the cardiac surgery.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1999年第2期90-92,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
心脏外科手术
神经系统
并发症
脑血管病
Cardiac surgery Neurological complications Aortic clump time Cardiopulmonary bypass
