| 心脏手术后的认知功能障碍 |
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| 引用本文： | 张富军,于布为. 心脏手术后的认知功能障碍[J]. 国际麻醉学与复苏杂志, 2006, 27(4): 256-258 |
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| 作者姓名： | 张富军 于布为 |
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| 作者单位： | 上海交通大学医学院附属瑞金医院麻醉科,200025 |
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| 摘 要： | 大脑功能障碍是指智力下降等不同程度脑功能改变。随着心脏外科的发展，有关中枢神经系统并发症日益受到重视。1 危险因素术前已有中风、主动脉近端硬化、贫血与老龄化、高血压和糖尿病等均可使体外循环后中风风险增加。术中发生中风的主要风险因子是体外循环时间和反复地钳夹主动脉。其他如围术期心律失常、低心排综合征等情况也会使体外循环后认知功能障碍增加。
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| 关 键 词： | 认知功能障碍 心脏手术后 中枢神经系统并发症 体外循环后 大脑功能障碍 体外循环时间 低心排综合征 风险因子 功能改变 不同程度 |
Postoperative cognitive dysfunction in patients undergoing cardiac surgery |
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| ZHANG Fu-jun,YU Bu-wei. Postoperative cognitive dysfunction in patients undergoing cardiac surgery[J]. international journal of anesthesiology and resuscitation, 2006, 27(4): 256-258 |
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| Authors: | ZHANG Fu-jun YU Bu-wei |
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| Affiliation: | Department of Anesthesiology, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai 200025, China |
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| Abstract: | Cardiac surgery is associated with a risk of organ damage. Among which, cognitive decline following cardiac surgery has drawn great attention in recent years. It is responsible for postoperative recovery and has an influence on the quality of life of the patients. Recent studies on cognitive dysfunction include risk predictor before cardiac surgery, changes of brain function with or without cardiopulmonary bypass, cerebral injury monitoring, long-term outcomes, and cerebral protection methods. In this review, we discuss the relationship between postoperative cognitive decline and cardiac surgery. |
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| Keywords: | cardiac surgery cognitive function |
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