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体外循环开始时脑电活动变化的意义

Significance of changes in cerebral electrical activity at onset of cardiopulmonary bypass.

作者信息

Kritikou P E, Branthwaite M A

出版信息

Thorax. 1977 Oct;32(5):534-8. doi: 10.1136/thx.32.5.534.

DOI:10.1136/thx.32.5.534
PMID:594931
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC470784/
Abstract

A study of 100 patients requiring open-heart surgery has been undertaken to ascertain whether prophylactic measures designed to minimise cerebral damage have influenced the incidence or severity of changes in cerebral electrical activity recorded at the onset of cardiopulmonary bypass. The incidence of change in cerebral electrical activity remains high but the severity of the disturbances has diminished as compared with a series investigated before prophylactic measures were introduced. Changes suggestive of cerebral depression were particularly notable in children under 10 years of age. The significance of these findings is discussed in the context of factors which might influence cerebral electrical activity at the onset of bypass.

摘要

对100例需要进行心脏直视手术的患者进行了一项研究,以确定旨在将脑损伤降至最低的预防措施是否影响了在心肺转流开始时记录的脑电活动变化的发生率或严重程度。脑电活动变化的发生率仍然很高,但与在引入预防措施之前调查的一系列病例相比,干扰的严重程度有所降低。提示脑抑制的变化在10岁以下儿童中尤为明显。在可能影响转流开始时脑电活动的因素背景下讨论了这些发现的意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abda/470784/c3a9c3507ec3/thorax00155-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abda/470784/df9c61f0b7d3/thorax00155-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abda/470784/193984887b5c/thorax00155-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abda/470784/c3a9c3507ec3/thorax00155-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abda/470784/df9c61f0b7d3/thorax00155-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abda/470784/193984887b5c/thorax00155-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abda/470784/c3a9c3507ec3/thorax00155-0022-a.jpg

相似文献

1
Significance of changes in cerebral electrical activity at onset of cardiopulmonary bypass.体外循环开始时脑电活动变化的意义
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引用本文的文献

1
Clinical and prognostic correlates of EEG in open-heart surgery patients.心脏直视手术患者脑电图的临床及预后相关性
J Neurol Neurosurg Psychiatry. 1980 Oct;43(10):941-7. doi: 10.1136/jnnp.43.10.941.
2
Five-year neurological and EEG outcome after open-heart surgery.心脏直视手术后的五年神经学和脑电图结果。
J Neurol Neurosurg Psychiatry. 1985 Jun;48(6):569-75. doi: 10.1136/jnnp.48.6.569.
3
Perioperative stroke. Part II: Cardiac surgery and cardiogenic embolic stroke.围手术期卒中。第二部分:心脏手术与心源性栓塞性卒中。

本文引用的文献

1
Device for continuous monitoring of cerebral activity in resuscitated patients.用于持续监测复苏后患者大脑活动的设备。
Br Med J. 1969 Nov 29;4(5682):545-6. doi: 10.1136/bmj.4.5682.545-a.
2
Brain damage in dogs immediately following pulsatile and non-pulsatile blood flows in extracorporeal circulation.体外循环中脉动血流和非脉动血流后犬立即出现的脑损伤。
Thorax. 1972 May;27(3):275-86. doi: 10.1136/thx.27.3.275.
3
Factors affecting cerebral activity during open-heart surgery.心脏直视手术期间影响大脑活动的因素。
Can J Anaesth. 1991 May;38(4 Pt 1):471-88. doi: 10.1007/BF03007584.
Anaesthesia. 1973 Nov;28(6):619-25. doi: 10.1111/j.1365-2044.1973.tb00545.x.
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Detection of neurological damage during open-heart surgery.
Thorax. 1973 Jul;28(4):464-72. doi: 10.1136/thx.28.4.464.
5
Cerebral blood flow and metabolism during open-heart surgery.心脏直视手术期间的脑血流与代谢
Thorax. 1974 Nov;29(6):633-8. doi: 10.1136/thx.29.6.633.
6
Prevention of neurological damage during open-heart surgery.心脏直视手术期间神经损伤的预防。
Thorax. 1975 Jun;30(3):258-61. doi: 10.1136/thx.30.3.258.
7
Organ damage after open-heart surgery.心脏直视手术后的器官损伤。
Lancet. 1976 Dec 25;2(8000):1410-1. doi: 10.1016/s0140-6736(76)91950-4.