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颈动脉内膜切除术的风险与防护措施。技术要点。

Hazards and safeguards during carotid endarterectomy. Technical considerations.

作者信息

Matsumoto G H, Cossman D, Callow A D

出版信息

Am J Surg. 1977 Apr;133(4):458-62. doi: 10.1016/0002-9610(77)90131-3.

DOI:10.1016/0002-9610(77)90131-3
PMID:192096
Abstract

The hazards and safeguards of carotid endarterectomy are presented in a consecutive series of 130 patients over a fourteen month period. The mortality rate of 1.5 per cent was due to myocardial infarction. Two patients (1.5 per cent) suffered minor but permanent neurologic deficit. There was an incidence of 4.6 per cent transient neurologic deficits, all of which cleared within 24 hours. Special emphasis is placed on peripheral nerve injuries (12.3 per cent). Local neurologic anatomy is reviewed to facilitate safe dissection and an avoidance of nerve injury.

摘要

在为期14个月的时间里,对连续130例患者进行了颈动脉内膜切除术的风险及防护研究。死亡率为1.5%,死因是心肌梗死。两名患者(1.5%)出现轻微但永久性神经功能缺损。短暂性神经功能缺损的发生率为4.6%,所有这些缺损均在24小时内恢复。特别强调了周围神经损伤(12.3%)。回顾了局部神经解剖结构,以利于安全解剖并避免神经损伤。

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Hazards and safeguards during carotid endarterectomy. Technical considerations.颈动脉内膜切除术的风险与防护措施。技术要点。
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引用本文的文献

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2
Motor speech deficit following carotid endarterectomy.颈动脉内膜切除术后的运动性言语缺陷。
Ann Surg. 1982 Oct;196(4):461-4. doi: 10.1097/00000658-198210000-00009.
3
Transient cerebral ischaemic attacks.短暂性脑缺血发作
J R Coll Physicians Lond. 1982 Apr;16(2):117-23.
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Management of closed injuries of the innominate artery.无名动脉闭合性损伤的处理
Thorax. 1982 May;37(5):381-3. doi: 10.1136/thx.37.5.381.
5
Routine electroencephalographic (EEG) monitoring during carotid endarterectomy.颈动脉内膜切除术期间的常规脑电图(EEG)监测。
Ann Surg. 1983 Jun;197(6):707-13. doi: 10.1097/00000658-198306000-00009.
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The impact of coronary artery disease on carotid endarterectomy.冠状动脉疾病对颈动脉内膜切除术的影响。
Ann Surg. 1983 Dec;198(6):705-12. doi: 10.1097/00000658-198312000-00007.
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[Surgery of the nerves of the neck, nose, and ear region (except Nn. stato-acusticus and olfactorius) (author's transl)].[颈部、鼻及耳部区域神经外科手术(不包括位听神经和嗅神经)(作者译)]
Arch Otorhinolaryngol. 1981;231(1):89-449. doi: 10.1007/BF00465558.
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Cranial nerve injury during carotid arterial reconstruction.
J Neurol. 1983;230(2):131-5. doi: 10.1007/BF00313640.
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Pitfalls during carotid endarterectomy.颈动脉内膜切除术的陷阱。
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Long-term follow-up of surgically managed carotid bifurcation atherosclerosis. Justification for an aggressive approach.手术治疗颈动脉分叉处动脉粥样硬化的长期随访。积极治疗方法的依据。
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