CENTRAL-NERVOUS-SYSTEM COMPLICATIONS AFTER CARDIAC-SURGERY - A COMPARISON BETWEEN CORONARY-ARTERY BYPASS-GRAFTING AND VALVE SURGERY

被引：53

作者：

KURODA, Y ^{[1
]}

UCHIMOTO, R ^{[1
]}

KAIEDA, R ^{[1
]}

SHINKURA, R ^{[1
]}

SHINOHARA, K ^{[1
]}

MIYAMOTO, S ^{[1
]}

OSHITA, S ^{[1
]}

TAKESHITA, H ^{[1
]}

机构：

[1] KOKURA MEM HOSP,DEPT ANESTHESIA,KITAKYUSHU,FUKUOKA 802,JAPAN

来源：

ANESTHESIA AND ANALGESIA | 1993年 / 76卷 / 02期

关键词：

D O I：

10.1213/00000539-199302000-00004

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Central nervous system (CNS) complications (disturbance of consciousness, focal motor deficits, and seizures) after coronary artery bypass grafting (CABG) and cardiac valve surgery were studied retrospectively The incidence of CNS complications was significantly more frequent in CABG (11%, 71/638) than in valve surgery (7%, 24/345). Major contributory factors of CNS complications were preexisting cerebrovascular disease and cardiopulmonary bypass time. In comparison to previous reports, older age, hypertension, diabetes mellitus, and cerebrovascular disease were more common in the patients undergoing CABG. The preexisting cerebrovascular disease and prolonged cardiopulmonary bypass time probably increase the risk of cerebral embolism and/or cerebral hypoperfusion. We conclude that patients undergoing CABG surgery are at greater risk for neurological damage in comparison to those undergoing valve surgery.

引用

页码：222 / 227

页数：6

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