How we do it

被引：11

作者：

Acher, CW

Wynn, MM

机构：

[1] Univ Wisconsin Hosp & Clin, Dept Surg, Madison, WI 53792 USA

[2] Univ Wisconsin Hosp & Clin, Dept Anesthesia, Madison, WI 53792 USA

来源：

CARDIOVASCULAR SURGERY | 1999年 / 7卷 / 06期

关键词：

aneurysm; cerebrospinal fluid; paraplegia; thoracoabdominal;

D O I：

10.1016/S0967-2109(99)00037-X

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A systematic approach to paraplegia risk in the surgical treatment of thoracoabdominal aortic aneurysms based on effective strategies identified from the experimental literature is discussed. With this approach, collateral blood flow. rather than direct intercostal reimplantation, moderate hypothermia and endorphin receptor, is emphasized blockade, The result has been a 10-fold reduction in paraplegia risk in elective patients and a 5-fold reduction in acute patients. This reduction in paralysis risk has resulted in improved short- and long-term survival. (C) 1999 The International Society for Cardiovascular Surgery. Published by Elsevier Science Ltd. All rights reserved.

引用

收藏

页码：593 / 596

页数：4

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