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麻醉后神经系统并发症——第一部分。围手术期卒中、术后视力丧失、抗胆碱能综合征

[Neurological complications following anesthesia--part I. Perioperative stroke, postoperative visual loss, anticholinergic syndrome].

作者信息

Adam Christian, Quabach Ralf, Standl Thomas

机构信息

Klinik für Anästhesie, Operative Intensiv- und Palliativmedizinam Städtischen Klinikum Solingen gGmbH.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2010 Jul;45(7-8):440-7. doi: 10.1055/s-0030-1262470. Epub 2010 Jul 21.

Abstract

Neurological complications following anesthesia deteriorate patients' outcome, and increase hospital costs because of prolonged hospitalization and supplemental medical care. Moreover, patients' satisfaction is negatively influenced by neurological sequelae after anesthesia. Improving anesthesiologic management based on consequent prevention measures can help to reduce the incidence of neurological complications after anesthesia. In case of neurological complications in the perioperative phase an interdisciplinary approach in immediate diagnosis and treatment may prevent patients from permanent damage. The present review article gives an overview over incidences, diagnostic and therapeutic issues of neurologic complications in operative patients, such as perioperative stroke, postoperative visual loss and the anticholinergic syndrome.

摘要

麻醉后出现的神经并发症会使患者的预后变差,并且由于住院时间延长和额外的医疗护理而增加医院成本。此外,麻醉后的神经后遗症会对患者的满意度产生负面影响。基于相应预防措施改进麻醉管理有助于降低麻醉后神经并发症的发生率。在围手术期发生神经并发症的情况下,采用多学科方法进行即时诊断和治疗可防止患者受到永久性损伤。本综述文章概述了手术患者神经并发症的发生率、诊断和治疗问题,如围手术期卒中、术后视力丧失和抗胆碱能综合征。

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