Bajardi G, Ricevuto G, Grassi N, Latteri M
Minerva Chir. 1989 Apr 15;44(7):1115-7.
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.
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。