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作 者:马云龙[1] 王云 Ma Yunlong;Wang Yun(Department of Anesthesiology,Beijing Hepingli Hospital,Beijing 100013,China;Department of Anesthesiology,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)
机构地区:[1]北京市和平里医院麻醉科,100013 [2]北京市朝阳医院麻醉科,100020
出 处:《国际麻醉学与复苏杂志》2019年第11期1070-1076,共7页International Journal of Anesthesiology and Resuscitation
摘 要:周围神经损伤(peripheral nerve injury,PNI)是围手术期常见临床并发症之一,可引起患者短时间感觉、运动异常,甚至造成永久性感觉运动障碍。现有研究强调通过提高围手术期周围神经保护意识,实施有效预防措施,可降低围手术期PNI发生率。文章围绕围手术期PNI发生率、易感因素、损伤因素、损伤机制、预防措施及治疗方案进行综述,为临床麻醉工作中如何避免PNI提供参考。Peripheral nerve injury(PNI)is one of the common perioperative complications,which can cause short-term sensory and motor abnormalities in patients,and even permanent sensorimotor disorders.Current studies emphasize that the incidence of perioperative PNI can be reduced through enhancing the awareness of perioperative peripheral nerve protection and implementing effective preventive measures.This paper reviewed the incidence,predisposing factors,injury factors,injury mechanism,preventive measures and treatment regimens of perioperative PNI,so as to provide reference to avoid PNI during clinical anesthesia.
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