体外循环心脏手术后精神障碍发生率及相关因素

被引:19
作者
皋源
张挺杰
王祥瑞
杭燕南
机构
[1] 上海第二医科大学仁济医院麻醉科
[2] 上海第二医科大学仁济医院麻醉科 上海
[3] 上海
关键词
心肺转流; 心脏手术; 术后精神障碍; 发生率; 相关因素;
D O I
暂无
中图分类号
R654.2 [心脏];
学科分类号
1002 ; 100210 ;
摘要
目的研究外科ICU中体外循环心脏手术后精神障碍的发生率 ,并分析其相关因素。方法 30 5例体外循环冠脉搭桥和瓣膜手术病人 ,术前统计年龄、性别、合并症及手术种类 ,体外循环期间统计最低红细胞压积及总转流时间 ,术后统计低氧血症、高血糖及电解质紊乱发生情况。术后第 1d起用CAM ICU量表观察病人精神变化。结果 30 5例病人中 ,33例术后发生精神障碍 ,总发生率为 10 .82 %。其中冠脉搭桥术后发生率为 14 .4 3% ,心脏瓣膜术后为 3.85 % ;年龄、术前合并糖尿病、冠脉搭桥手术、体外循环期间红细胞压积与术后精神障碍密切相关。结论冠脉搭桥手术病人术后精神障碍发生率较高 ;高龄、术前合并糖尿病、冠脉搭桥手术及体外循环期间红细胞压积过低与术后精神障碍的发生密切相关
引用
收藏
页码:916 / 918
页数:3
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