Llinas R, Barbut D, Caplan L R
Department of Neurology, Beth Israel-Deaconess Medical Center, Harvard University, Boston, MA, USA.
Prog Cardiovasc Dis. 2000 Sep-Oct;43(2):101-12. doi: 10.1053/pcad.2000.9030.
The average age of patients undergoing cardiac surgery and the number of comorbidities they possess will continue to increase as surgical technology advances. Toxic/metabolic encephalopathy, hemispheric strokes, hypoxic injury, and peripheral nerve lesions all can occur as a result of cardiac surgery. Therefore, an understanding of the neurologic risk, recognizable syndromes, and preventative measures will continue to be important. Careful preoperative assessment, operative risk factor reduction, and careful postoperative assessments and management may reduce the neurologic risk for cardiac surgery.
随着外科技术的进步,接受心脏手术患者的平均年龄及其所患合并症的数量将持续增加。心脏手术可能导致中毒/代谢性脑病、半球性中风、缺氧性损伤和周围神经病变。因此,了解神经学风险、可识别的综合征以及预防措施仍然很重要。术前仔细评估、降低手术风险因素以及术后仔细评估和管理可能会降低心脏手术的神经学风险。