Nagre Amarja S
Department of Anaesthesia, Kamalnayan Bajaj Hospital, Aurangabad, Maharashtra, India.
Indian J Anaesth. 2018 Oct;62(10):738-742. doi: 10.4103/ija.IJA_292_18.
Stroke culminates into 6.2 million deaths annually and is thereby a leading cause of disability and death worldwide. In patients undergoing noncardiac, nonneurological surgery, perioperative stroke can eventuate into a catastropic aftermath with almost eight-fold rise in mortality. In cardiac, neurological, and carotid surgery, stroke rate accounts to be high (2.2%-5.2%) and is a significant instigator of morbidity and mortality as well. These facts kindle interest to review the predictive parameters, preventive measures, and all the possibilities in the management and protection against perioperative stroke.
中风每年导致620万人死亡,是全球致残和死亡的主要原因。在接受非心脏、非神经外科手术的患者中,围手术期中风可能导致灾难性后果,死亡率几乎增加八倍。在心脏、神经和颈动脉手术中,中风发生率很高(2.2%-5.2%),也是发病和死亡的重要诱因。这些事实引发了人们对围手术期中风预测参数、预防措施以及管理和预防围手术期中风的所有可能性进行综述的兴趣。