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各种适应证的颈动脉内膜切除术术后并发症:192例手术报告

Complications following carotid endarterectomy for all indications: report of 192 operations.

作者信息

Theodotou B, Mahaley M S

出版信息

Surg Neurol. 1985 Nov;24(5):484-9. doi: 10.1016/0090-3019(85)90261-7.

DOI:10.1016/0090-3019(85)90261-7
PMID:4049222
Abstract

The complications (stroke, myocardial infarction, and death) with 192 endarterectomies performed on 162 patients were evaluated and categorized according to the presenting syndrome: asymptomatic bruit, transient ischemic attack, stroke, stroke in progress, and posterior fossa ischemia. Each group's complication rate was then evaluated over several postoperative periods (0.5 hour to 30 days) and compared with rates in comparable studies. Overall mortality for the entire series was 0.5%. This study points out the need to separate patients having undergone endarterectomy into presenting groups before comparing with other studies having similar postoperative observations.

摘要

对162例患者进行的192次动脉内膜切除术的并发症(中风、心肌梗死和死亡),根据出现的综合征进行了评估和分类:无症状性杂音、短暂性脑缺血发作、中风、进展性中风和后颅窝缺血。然后评估了每组在几个术后时间段(0.5小时至30天)的并发症发生率,并与同类研究中的发生率进行比较。整个系列的总死亡率为0.5%。本研究指出,在与其他有类似术后观察的研究进行比较之前,有必要将接受动脉内膜切除术的患者按出现的情况分组。

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