体外循环术后神经系统并发症的疗效观察  

Efficacy of Neurological Complications After Cardiopulmonary Bypass

作　　者：匡明星[1] 

机构地区：[1]吉林省人民医院心脏外科,长春130021

出　　处：《中国继续医学教育》2015年第6期71-72,共2页China Continuing Medical Education

摘　　要：目的：观察体外循环术后神经系统并发症的疗效。方法回顾性分析2010年8月～2014年8月我院接受心脏手术治疗的2187例患者的临床资料，发生体外循环术后神经系统并发症患者42例，发生率为1.9%，根据其临床表现，给予针对性治疗干预。结果42例患者经对症治疗后，死亡2例，死亡率为4.8%；2例存在轻度肢体运动障碍，1例左眼视力下降，其余均痊愈后出院。结论体外循环术后需严密监测患者神经系统，早发现、早治疗，可显著改善预后效果。Objective To observe the effect of neurological complications after cardiopulmonary bypass.Methods A retrospective analysis of August 2010 -2014 August clinical data of cardiac surgery patients with 2187 cases, 42 cases occurred in patients with cardiopulmonary bypass neurological complications, the rate of 1.9%, according to their clinical manifestations, given targeted therapeutic intervention.Results 42 patients after symptomatic treatment, 2 patients died, the mortality rate was 4.8%; 2 cases of mild limb movement disorder exists, one case of left eye vision loss, after the rest were discharged.Conclusion The need to closely monitor patients after cardiopulmonary bypass nervous system, early detection and early treatment can signiifcantly improve the prognosis.

关 键 词：体外循环术 神经系统并发症 疗效观察 

分 类 号：R541.9[医药卫生—心血管疾病]