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[颈动脉内膜切除术后的动脉高血压]

[Arterial hypertension after carotid endarterectomy].

作者信息

Bajardi G, Ricevuto G, Grassi N, Latteri M

出版信息

Minerva Chir. 1989 Apr 15;44(7):1115-7.

PMID:2747952
Abstract

Arterial hypertension as a consequence of carotid endarterectomy is a relatively frequent event and potentially dangerous because of the development of central postoperative neurological deficiency. The main pathogenetic theories are reviewed, with reference to hypotensive phenomena and preventive action also. Stress is laid on the importance of recognising potential risk factors, such as the use of anaesthetics which interfere with cerebral flow self-regulation mechanisms, diabetes and atherosclerosis.

摘要

颈动脉内膜切除术后引发的动脉高血压是一种较为常见的情况,且由于术后中枢神经系统功能缺损的发生而具有潜在危险性。本文回顾了主要的发病机制理论,并提及了降压现象及预防措施。着重强调了识别潜在风险因素的重要性,如使用干扰脑血流自我调节机制的麻醉剂、糖尿病和动脉粥样硬化。

相似文献

1
[Arterial hypertension after carotid endarterectomy].[颈动脉内膜切除术后的动脉高血压]
Minerva Chir. 1989 Apr 15;44(7):1115-7.
2
Unusual indications for carotid artery surgery.颈动脉手术的特殊指征。
Acta Chir Scand. 1980;146(1):5-8.
3
Experience with barbiturate therapy for cerebral protection during carotid endarterectomy.颈动脉内膜切除术期间使用巴比妥类药物进行脑保护的经验。
Ann R Coll Surg Engl. 1984 Sep;66(5):361-4.
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[Use of an intraoperative shunt in carotid endarterectomy].[术中分流术在颈动脉内膜切除术中的应用]
Minerva Chir. 1988 Feb 29;43(4):283-6.
5
Neurosurgical experience with carotid endarterectomy at University Hospitals (1954-1976).
Wis Med J. 1978 Jul;77(7):65-8.
6
Does carotid endarterectomy decrease stroke and death in patients with transient ischemic attacks? Committee on Health Care Issues, American Neurological Association.
Ann Neurol. 1987 Jul;22(1):72-6. doi: 10.1002/ana.410220116.
7
Carotid endarterectomy under local anesthesia: a retrospective study.局部麻醉下颈动脉内膜切除术:一项回顾性研究。
Am Surg. 1979 Nov;45(11):709-14.
8
[Treatment of transient ischemic attack by carotid endarterectomy].[颈动脉内膜切除术治疗短暂性脑缺血发作]
Zhonghua Wai Ke Za Zhi. 1989 Dec;27(12):743-5, 781.
9
Combined carotid and coronary operations: when are they necessary?
J Thorac Cardiovasc Surg. 1984 Jan;87(1):7-16.
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[Carotid surgery. Current indications in the treatment of aged patients].[颈动脉手术。老年患者治疗的当前适应症]
Minerva Chir. 1988 Aug 31;43(15-16):1215-20.