心脏门手术后的中风:一个单一中心机构报告
Nizar Alwaqfi1, Majd M AlBarakat2, Hala Qariouti2
1Faculty of Medicine, Faculty of medicine, Jordan University of Science and Technology, Irbid, Jordan. nralwaqfi@just.edu.jo.
Journal of cardiothoracic surgery
|September 9, 2024
概括
手术置换 (SVR) 后的术后中风发生在4.3%的患者中. 关键的风险因素包括延长的绕道时间和特定的并发症,突出显示了积极预防中风策略的需要.
科学领域:
- 心血管外科心血管外科
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 脑卒中是心脏门置换手术后的一个严重并发症,发病率在1%至10%之间.
- 术后中风会影响患者的治疗结果,并增加医疗保健费用.
- 鉴定门置换后中风的危险因素对于改善患者护理至关重要.
研究的目的:
- 为了调查医院内不良神经事件的发生率,特别是中风,手术置换 (SVR) 后.
- 确定患者特征和与中风风险增加相关的程序因素.
- 分析与SVR患者手术后中风相关的结果.
主要方法:
- 从2004年1月到2022年12月连续接受SVR的417名患者的回顾性分析.
- 从前性记录的心脏重症监护病房数据库中提取的数据.
- 包括人口,术前和术后变量;排除特定标准.
主要成果:
- 手术后中风的发生率为4.3%.
- 确定的危险因素包括长时间的心肺绕道和大动脉十字时间,先前的中风,糖尿病,中枢环结石化,联合手术 (AVR/MVR,CABG/AVR/MVR),内动脉狭窄 (<75%),以及需要长时间的内支持.
- 脑卒中发生与更长的ICU停留时间和增加的住院死亡率相关.
结论:
- 在SVR之后,已确定了中风的关键风险因素.
- 积极的措施对于减轻手术后中风的发生率至关重要,在接受门置换手术的患者中.
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