围手术期卒中的研究现状  

The research status of perioperative stroke

作　　者：王鹤 王文法 

机构地区：[1]楚雄彝族自治州人民医院大理大学第四附属医院麻醉科,楚雄675000

出　　处：《国际麻醉学与复苏杂志》2016年第11期1036-1042,1051,共8页International Journal of Anesthesiology and Resuscitation

摘　　要：背景围手术期卒中对手术患者而言可能是一个毁灭性并发症，与未发生卒中的患者相比，住院时间显著延长，生活质量及生存率明显降低，严重影响了患者的预后。目的帮助临床麻醉医师全面认识围手术期卒中，试图提前识别高风险患者并采取相应措施来降低围手术期卒中的发生率。内容全面介绍围手术期卒中的定义、发病率及病死率、发生机制、危险因素、降低风险的围手术期管理措施。趋向仍需进一步研究剖析围手术期卒中，方能使更多高危患者幸免于围手术期卒中。Background Perioperative stroke can be a catastrophic complication for surgical patients. Compared with patients without stroke, the length of hospital stay of these patients were significantly prolonged, the quality of life and survival rate obviously reduced, the prognosis is seriously worse. Objective To help clinical anesthesiologist comprehensively understand perioperative stroke in order to identify the patients with high risk in advance, and take corresponding measures to reduce the incidence of perioperative stroke. Content This article introduces the definition of perioperative stroke, risk factors, morbidity and mortality, mechanism, and the perioperative management measures reducing the risk. Trend Further reseach about the perioperative stroke required to help high-risk patients survive from the perioperative stroke.

关 键 词：卒中 围手术期 脑血管意外 非心血管手术 

分 类 号：R619[医药卫生—外科学]