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冠状动脉旁路移植术的神经系统并发症:病例对照研究。

Neurologic complications of coronary artery bypass grafting: case-control study.

作者信息

González-Scarano F, Hurtig H I

出版信息

Neurology. 1981 Aug;31(8):1032-5. doi: 10.1212/wnl.31.8.1032.

Abstract

In a retrospective case-control study, we identified 18 patients who had neurologic symptoms associated with coronary artery bypass grafting, or 1.3% of all patients who had this operation. Cerebral infarction and anoxic encephalopathy accounted for almost all the complications. The overall mortality was 33%, higher among those with an intraoperative compared with a postoperative deficit. Prior cerebrovascular risk factors as well as intraoperative hypotension were no more prevalent in patients with complications than in age-matched controls who had the same operation.

摘要

在一项回顾性病例对照研究中,我们识别出18例出现与冠状动脉旁路移植术相关神经症状的患者,占所有接受该手术患者的1.3%。脑梗死和缺氧性脑病几乎构成了所有并发症。总体死亡率为33%,术中出现神经功能缺损的患者死亡率高于术后出现神经功能缺损的患者。有并发症的患者与接受相同手术的年龄匹配对照组相比,既往脑血管危险因素以及术中低血压并不更常见。

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