Young M A, Bratina P, Hickenbottom S, Demchuk A, Wein T
Program Educator for TIRR LifeBridge Hospital, Texas Institute of Rehabilitation and Research, Houston, USA.
J Cardiovasc Nurs. 1998 Oct;13(1):26-33. doi: 10.1097/00005082-199810000-00004.
Although outcomes from coronary artery bypass grafting (CABG) surgery have improved in general, there has been little or no improvement in the incidence of postoperative stroke or neurologic dysfunction. Several studies have identified factors that increase the CABG patient's risk for developing a stroke and neurologic complications. It is important to identify those patients at increased risk and differentiate among stroke, delirium, and seizures. Post-CABG patients need to be monitored for neurological dysfunction with appropriate assessments. Neurologic complications must be appropriately managed to optimize patient recovery.
尽管冠状动脉旁路移植术（CABG）手术的总体疗效有所改善，但术后中风或神经功能障碍的发生率几乎没有改善。多项研究已经确定了增加CABG患者发生中风和神经并发症风险的因素。识别那些风险增加的患者，并区分中风、谵妄和癫痫发作，这很重要。CABG术后患者需要通过适当的评估来监测神经功能障碍。必须对神经并发症进行适当管理，以优化患者的康复。
