心脏重症围手术期脑损伤中西医结合诊治专家共识  

Expert consensus on the diagnosis and treatment of perioperative brain injury by integrated traditional Chinese and Western medicine in cardiac intensive disease

作　　者：中国医师协会心脏重症专业委员会 中国医药教育协会重症医学专业委员会 中国研究型医院学会神经再生与修复专业委员会心脏重症脑保护学组 辽宁省护理学会 辽宁省互联网协会智慧医养结合工作委员会 辽宁省老年服务业联合会 韩宏光 刘楠[3] 李白翎 邓丽 白杨[6] 巩阳 王晓倩 曲虹 柳云恩 Cardiac Intensive Care Professional Committee of Chinese Medical Doctor Association;Critical Care Medicine Professional Committee of Chinese Medical Education Association;Cerebral Protection in Cardiac Intensive Care Group Neural Regeneration and Repair Committee Chinese Research Hospital Association;Liaoning Nursing Association;Liaoning Province Internet Intelligent Combination of Medical Care Professional Committee;Liaoning Elderly Service Association

机构地区：[1]不详 [2]沈阳医学院 [3]首都医科大学附属北京安贞医院 [4]海军军医大学附属长海医院 [5]哈尔滨医科大学附属第一医院 [6]吉林大学第一医院 [7]北部战区总医院

出　　处：《解放军医学杂志》2023年第5期489-500,共12页Medical Journal of Chinese People's Liberation Army

摘　　要：心脏重症围手术期脑损伤是导致行心脏手术的重症患者临床治疗效果不佳、预后不良的重要因素。为了降低心脏重症围手术期脑损伤并发症的发生率,减少脑损伤导致的不良后果,促进心脏外科术后患者的神经系统康复,提高患者生活质量并获得最佳预后,中国医师协会心脏重症专业委员会、中国医药教育协会重症医学专业委员会、中国研究型医院学会神经再生与修复专业委员会心脏重症脑保护学组等组织制定此专家共识,旨在帮助临床医师提高心脏重症围手术期脑损伤诊治水平。本共识包括成人心脏外科围手术期脑损伤的中西医表征及发生机制、监测手段,以及中西医治疗与干预等方面,供临床工作参考。The perioperative brain injury is an important factor leading to poor clinical treatment effect and poor prognosis of critically ill patients undergoing cardiac surgery.In order to reduce the incidence of brain injury complications during perioperative period of cardiac disease,decrease the adverse consequence of brain injury,improve the neurological rehabilitation of patients after cardiac surgery,and enhance the quality of life and obtain the best prognosis of patients.Cardiac Intensive Care Professional Committee of Chinese Medical Doctor Association,Critical Care Medicine Professional Committee of Chinese Medical Education Association,Cerebral Protection in Cardiac Intensive Care Group of Neural Regeneration and Repair Committee of Chinese Research Hospital Association,and Liaoning Province Internet Intelligent Combination of Medical Care Professional Committee write the consensus.It aims to help clinicians improve the level of diagnosis and treatment of brain injury during perioperative period of cardiac critical care patients.The consensus include the characteristics and mechanisms of Chinese and Western medicine,monitoring methods,Chinese and Western medicine intervention and treatment of perioperative brain injury in adult cardiac surgery,thus providing apply reference for clinical work.

关 键 词：心脏重症 围手术期 体外循环 脑卒中 认知功能障碍 中西医结合治疗 共识 

分 类 号：R651.15[医药卫生—外科学]