CAJ | 학술논문

卒中是围手术期严重并发症之一.由于手术部位、手术复杂程度和患者基础疾病的不同,围手术期卒中的发生率差异很大,诱导麻醉和术中处理对卒中发生也有着重要影响.围手术期卒中的病死率高达26%,神经科医生必须指导围手术期卒中潜在风险的评价;在制定每一决策时,必须审慎平衡风险-效益比.文章综述了围手术期卒中的危险因素、预防和治疗进展.
졸중시위수술기엄중병발증지일.유우수술부위、수술복잡정도화환자기출질병적불동,위수술기졸중적발생솔차이흔대,유도마취화술중처리대졸중발생야유착중요영향.위수술기졸중적병사솔고체26%,신경과의생필수지도위수술기졸중잠재풍험적평개;재제정매일결책시,필수심신평형풍험-효익비.문장종술료위수술기졸중적위험인소、예방화치료진전.
Stroke is one of the severe perioperative complications.The incidence of perioperative stroke has great difference because of the surgical site,surgical complexity,and different basic diseases of patients.The induced anesthesia and the intraoperative management also have an important influence on the onset of stroke.The mortality of perioperative stroke is as high as 26%.Neturologists must guide the assessment of the potential risks for perioperative stroke,and carefully balance the risk-benefit ratio when making each decision.This article reviews the advances in research on the risk factors for perioperative stroke,prevention,and treatment.