Dhallu Manjeet Singh, Baiomi Ahmed, Biyyam Madhavi, Chilimuri Sridhar
Department of Medicine, Bronx-Lebanon Hospital Center, Bronx, NY, USA.
Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Health Serv Insights. 2017 Jun 12;10:1178632917711942. doi: 10.1177/1178632917711942. eCollection 2017.
Perioperative care of the patients with neurological diseases can be challenging. Most important consideration is the management and understanding of pathophysiology of these disorders and evaluation of new neurological changes that occur perioperatively. Perioperative generally refers to 3 phases of surgery: preoperative, intraoperative, and postoperative. We have tried to address few commonly encountered neurological conditions in clinical practice, such as delirium, stroke, epilepsy, myasthenia gravis, and Parkinson disease. In this article, we emphasize on early diagnosis and management strategies of neurological disorders in the perioperative period to minimize morbidity and mortality of patients.
神经疾病患者的围手术期护理颇具挑战性。最重要的考量是对这些疾病病理生理学的管理与理解，以及对围手术期出现的新神经变化的评估。围手术期通常指手术的三个阶段：术前、术中和术后。我们试图探讨临床实践中一些常见的神经疾病，如谵妄、中风、癫痫、重症肌无力和帕金森病。在本文中，我们着重介绍围手术期神经疾病的早期诊断和管理策略，以尽量降低患者的发病率和死亡率。
