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Paraplegia after thoracoabdominal aortic surgery: not just assisted circulation, hypothermic arrest, clamp and sew, or TEVAR.胸腹主动脉手术后的截瘫：不仅仅是体外循环、低温停循环、钳夹缝合或腔内修复术。
Ann Cardiothorac Surg. 2012 Sep;1(3):365-72. doi: 10.3978/j.issn.2225-319X.2012.08.06.
2
Evolution of operative strategies in open thoracoabdominal aneurysm repair.开放胸腹主动脉瘤修复术中手术策略的演变。
J Vasc Surg. 2011 May;53(5):1195-1201.e1. doi: 10.1016/j.jvs.2010.11.055. Epub 2011 Feb 11.
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It is not just assisted circulation, hypothermic arrest, or clamp and sew.这不仅仅是辅助循环、低温停搏、夹闭和缝合。
J Thorac Cardiovasc Surg. 2010 Dec;140(6 Suppl):S136-41; discussion S142-S146. doi: 10.1016/j.jtcvs.2010.07.032.
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Is clamp and sew still viable for thoracic aortic resection?对于胸主动脉切除术，钳夹并缝合仍然可行吗？
Ann Surg. 1996 May;223(5):534-40; discussion 540-3. doi: 10.1097/00000658-199605000-00009.
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Preservation of renal function utilizing hypothermic circulatory arrest in the treatment of distal thoracoabdominal aneurysms (types III and IV).在治疗胸腹主动脉远端动脉瘤（III型和IV型）中利用低温循环停止来保护肾功能。
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Thoracoabdominal aortic replacement for Crawford extent II aneurysm after thoracic endovascular aortic repair.胸段血管腔内主动脉修复术后 Crawford II 型胸腹主动脉瘤的胸腹主动脉置换术。
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Hypothermic circulatory arrest: safety and efficacy in the operative treatment of descending and thoracoabdominal aortic aneurysms.低温循环停止：在降主动脉和胸腹主动脉瘤手术治疗中的安全性和有效性。
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A propensity score-matched comparison of deep versus mild hypothermia during thoracoabdominal aortic surgery.胸主动脉手术中深低温与浅低温的倾向评分匹配比较。
J Thorac Cardiovasc Surg. 2012 Jan;143(1):186-93. doi: 10.1016/j.jtcvs.2011.07.020. Epub 2011 Aug 31.

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Cerebral and Spinal Cord Protection Strategies in Aortic Arch Surgery.主动脉弓手术中的脑和脊髓保护策略
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Endoplasmic Reticulum Stress Causing Apoptosis in a Mouse Model of an Ischemic Spinal Cord Injury.内质网应激导致缺血性脊髓损伤小鼠模型中的细胞凋亡。
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Intravenous injection of adult human bone marrow mesenchymal stromal cells attenuates spinal cord ischemia/reperfusion injury in a murine aortic arch crossclamping model.在小鼠主动脉弓夹闭模型中，静脉注射成人骨髓间充质基质细胞可减轻脊髓缺血/再灌注损伤。
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Evaluation of spinal cord protective threshold of serum memantine, an NMDA receptor antagonist, in a rabbit model of paraplegia.在截瘫兔模型中评估NMDA受体拮抗剂美金刚血清脊髓保护阈值
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Modified Gott shunt to avoid left ventricular overload and cerebral hypoperfusion during distal aortic arch surgery.改良戈特分流术，以避免在主动脉弓远端手术期间左心室过载和脑灌注不足。
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MiR-155 deletion reduces ischemia-induced paralysis in an aortic aneurysm repair mouse model: Utility of immunohistochemistry and histopathology in understanding etiology of spinal cord paralysis.MiR-155缺失可减轻主动脉瘤修复小鼠模型中缺血诱导的麻痹：免疫组织化学和组织病理学在理解脊髓麻痹病因中的应用
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7
Surgical repair following trauma to vascular graft causing spinal cord infarction.创伤致血管移植物损伤后行脊髓梗死的外科修复术。
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本文引用的文献

1
Cyber medicine enables remote neuromonitoring during aortic surgery.网络医学可实现主动脉手术中的远程神经监测。
J Vasc Surg. 2012 May;55(5):1227-32; discussion 1232-3. doi: 10.1016/j.jvs.2011.11.121. Epub 2012 Feb 15.
2
A modern theory of paraplegia in the treatment of aneurysms of the thoracoabdominal aorta: An analysis of technique specific observed/expected ratios for paralysis.胸腹主动脉瘤治疗中截瘫的现代理论：对瘫痪相关技术特定观察/预期比率的分析
J Vasc Surg. 2009 May;49(5):1117-24; discussion 1124. doi: 10.1016/j.jvs.2008.10.074.
3
Depression of excitatory transmission at PF-PC synapse by group III metabotropic glutamate receptors is provided exclusively by mGluR4 in the rodent cerebellar cortex.颗粒细胞-浦肯野细胞突触处 III 型代谢型谷氨酸受体对兴奋性传递的抑制作用仅由啮齿动物小脑皮质中的 mGluR4 提供。
J Neurochem. 2008 Jun 1;105(6):2069-79. doi: 10.1111/j.1471-4159.2008.05290.x.
4
Pulmonary complications after descending thoracic and thoracoabdominal aortic aneurysm repair: predictors, prevention, and treatment.降主动脉和胸腹主动脉瘤修复术后的肺部并发症：预测因素、预防及治疗
Ann Thorac Surg. 2007 Feb;83(2):S870-6; discussion S890-2. doi: 10.1016/j.athoracsur.2006.10.099.
5
Cerebrospinal fluid may mediate CNS ischemic injury.脑脊液可能介导中枢神经系统缺血性损伤。
Cerebrospinal Fluid Res. 2005 Sep 20;2:7. doi: 10.1186/1743-8454-2-7.
6
Naloxone lowers cerebrospinal fluid levels of excitatory amino acids after thoracoabdominal aortic surgery.纳洛酮可降低胸腹主动脉手术后脑脊液中兴奋性氨基酸的水平。
J Vasc Surg. 2004 Oct;40(4):681-90. doi: 10.1016/j.jvs.2004.07.005.
7
The mechanism of paraplegia after temporary thoracic aortic occlusion and its relationship to spinal fluid pressure.暂时性胸主动脉阻断后截瘫的机制及其与脑脊液压力的关系。
Surgery. 1962 Mar;51:351-5.
8
A new and simple method of preventing spinal cord damage following temporary occlusion of the thoracic aorta by draining the cerebrospinal fluid.一种通过引流脑脊液来预防胸主动脉临时阻断后脊髓损伤的新的简单方法。
J Cardiovasc Surg (Torino). 1960 Sep;1:188-97.
9
Neurologic complications of aortic surgery.主动脉手术的神经系统并发症
Ann Surg. 1956 Oct;144(4):574-610. doi: 10.1097/00000658-195610000-00005.
10
Cardiac function is a risk factor for paralysis in thoracoabdominal aortic replacement.心脏功能是胸腹主动脉置换术中发生瘫痪的一个危险因素。
J Vasc Surg. 1998 May;27(5):821-8; discussion 829-30. doi: 10.1016/s0741-5214(98)70261-7.

Paraplegia after thoracoabdominal aortic surgery: not just assisted circulation, hypothermic arrest, clamp and sew, or TEVAR.

作者信息

Acher Charles, Wynn Martha

机构信息

Departments of Surgery and Anesthesiology, University of Wisconsin, Madison, Wisconsin, USA.

出版信息

Ann Cardiothorac Surg. 2012 Sep;1(3):365-72. doi: 10.3978/j.issn.2225-319X.2012.08.06.

DOI:10.3978/j.issn.2225-319X.2012.08.06
PMID:23977522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3741761/
Abstract
摘要