CENTRAL-NERVOUS-SYSTEM DYSFUNCTION AFTER WARM OR HYPOTHERMIC CARDIOPULMONARY BYPASS

被引：55

作者：

WONG, BI

MCLEAN, RF

NAYLOR, CD

SNOW, WG

HARRINGTON, EM

GAWEL, MJ

WOODS, RB

FREMES, SE

机构：

[1] UNIV TORONTO,SUNNYBROOK HLTH SCI CTR,DEPT ANAESTHESIA,C818,2075 BAYVIEW AVE,N YORK M4N 3M5,ONTARIO,CANADA

[2] UNIV TORONTO,SUNNYBROOK HLTH SCI CTR,DEPT CLIN EPIDEMIOL,N YORK M4N 3M5,ONTARIO,CANADA

[3] UNIV TORONTO,SUNNYBROOK HLTH SCI CTR,DEPT PATHOL,N YORK M4N 3M5,ONTARIO,CANADA

[4] UNIV TORONTO,SUNNYBROOK HLTH SCI CTR,DEPT MED,DIV NEUROL,N YORK M4N 3M5,ONTARIO,CANADA

[5] UNIV TORONTO,SUNNYBROOK HLTH SCI CTR,DEPT SURG,DIV CARDIOVASC SUR,N YORK M4N 3M5,ONTARIO,CANADA

来源：

LANCET | 1992年 / 339卷 / 8806期

基金：

英国惠康基金;

关键词：

D O I：

10.1016/0140-6736(92)91200-R

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The increasing popularity of warm heart surgery led us to assess the effect of temperature during cardiopulmonary bypass (CPB) on neuropsychological function after coronary surgery. 34 patients enrolled in a randomised trial of normothermic versus hypothermic CPB were subjected to a battery of psychomotor and memory tests before and after their operations. The mean nasopharyngeal temperature for warm CPB was 34.7 (SD 0.5)-degrees-C and that for hypothermic CPB was 27.8 (2.0)-degrees-C. In all seven neuropsychological tests the postoperative scores were better in the warm CPB than in the hypothermic group, although only one difference achieved significance (trial-making test A; p < 0.023). Thus, neurological function after normothermic CPB seems to be no worse than that after hypothermic procedures.

引用

页码：1383 / 1384

页数：2

共 10 条

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