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体外循环后的脑损伤：神经生理学与神经病理学发现之间的相关性

Brain damage after cardiopulmonary by-pass: correlations between neurophysiological and neuropathological findings.

作者信息

Malone M, Prior P, Scholtz C L

出版信息

J Neurol Neurosurg Psychiatry. 1981 Oct;44(10):924-31. doi: 10.1136/jnnp.44.10.924.

DOI:10.1136/jnnp.44.10.924
PMID:7310410
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC491179/
Abstract

Ischaemic lesions along cerebral arterial boundary zones were present in nine patients dying after cardiopulmonary by-pass. Their intra-operative cerebral function monitor recordings had shown at least 7 min major depression, its severity correlating with degrees of neurological deficit after operation and EEG abnormality and extent of infarction. In contrast eleven patients with normal or minimally abnormal cerebral function monitor recordings had macroscopically normal brains.

摘要

9例在体外循环后死亡的患者出现了沿脑动脉边界区的缺血性病变。他们术中的脑功能监测记录显示至少有7分钟的严重抑制，其严重程度与术后神经功能缺损程度、脑电图异常及梗死范围相关。相比之下，11例脑功能监测记录正常或仅有轻微异常的患者，其大脑在宏观上是正常的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2537/491179/8015e01e8908/jnnpsyc00066-0083-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2537/491179/f56eeee9f6ec/jnnpsyc00066-0082-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2537/491179/7f5ab2340cef/jnnpsyc00066-0083-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2537/491179/8015e01e8908/jnnpsyc00066-0083-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2537/491179/f56eeee9f6ec/jnnpsyc00066-0082-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2537/491179/7f5ab2340cef/jnnpsyc00066-0083-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2537/491179/8015e01e8908/jnnpsyc00066-0083-b.jpg

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EFFECTS OF ARTERIAL AND VENOUS PRESSURE CHANGES ON THE ELECTROENCEPHALOGRAM DURING CARDIAC OPERATIONS.心脏手术期间动静脉压力变化对脑电图的影响
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Br Med J. 1969 Nov 29;4(5682):545-6. doi: 10.1136/bmj.4.5682.545-a.
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The arterial, venous pressures and the electroencephalogram during open heart sugery.心脏直视手术期间的动脉压、静脉压和脑电图。
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