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颈动脉内膜切除术后脑过度灌注综合征 被引量:3

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摘要 颈动脉内膜切除术是世界各国最常进行的血管内手术 ,其围手术期并发症约为 3% ,其中并发脑过度灌注综合征者仅占全部手术病例的 0 .1%~ 10 %。其临床特点为 ,严重的头痛、局限性和 (或 )广泛性痉挛、手术侧半球脑出血。其发生原因与脑血流量增加、正常灌注压中断、微栓塞、卒中病史以及术后难以控制的高血压等有关。由于这是一种少见的并发症 ,故对它尚缺乏充分的认识。本文对该并发症的临床表现、发生机制、诊断、预防和治疗作了介绍。
出处 《国外医学(神经病学.神经外科学分册)》 2000年第4期208-211,共4页 Foreign Medical Sciences(Section On Neurology & Neurosurgery)
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参考文献10

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同被引文献16

  • 1蒋俊豪.颈动脉内膜剥脱术后缺血性脑并发症的预防[J].国外医学(脑血管疾病分册),1995,3(2):93-96. 被引量:1
  • 2栗力,刘洪,于国涛,崔若昱,周宁,潘仲杰,李阳春.颈动脉内膜切除术相关并发症及处理[J].中华普通外科杂志,2005,20(9):555-557. 被引量:16
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  • 5Metz R,Teijink JA,van de Pavoordt HD,et al.Carotid endarterectomy in octogenarians with symptomatic highgrade internal carotid artery stenosis:long-term clinical and Duplex follow-up. Vasc Endovasc Surg,2002,36:409-414.
  • 6Ozsvath KJ,Darling RC,Tabatabai L,et al.Carotid endarterectomy in the elderly:does gender effect outcome? Cardiovasc Surg,2002,10:534-537.
  • 7Counsell C, Salinas R, Warlow C, et al. Patch angioplasty versus primary closure for carotid endarterectomy.Cochrane Database Syst Rev,2000,2:160-162.
  • 8Moore WS, Martello JY, Quinones-Baldrich WJ, et al. Etiologic importance of the intimal flap of the external carotid artery in the development of postcarotid endarterectomy stroke. Stroke, 1990,21:1497-1502.
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  • 10Michoa F.Venous thromboembolism epidemiology,Characteristics,and Consequences[J].ClincComerstone,2005,7(1):8-15.

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