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|本期目录/Table of Contents|

主动脉弓手术后并发谵妄的临床分析

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2013年第3期
页码:
371-372379
栏目:
临床研究
出版日期:
2013-06-25

文章信息/Info

Title:
Clinical analysis of postoperative delirium following aortic arch operation
作者:
袁 辉; 祁 明; 黄维勤
(武汉亚洲心脏病医院麻醉科，湖北 武汉 430022)
Author(s):
YUAN Hui;  QI Ming;  HUANG Win qin
(Department of Anesthesiology, Wuhan Asia Heart Hospital, Wuhan 430022, Hubei, China)
关键词:
主动脉弓; 心脏外科手术; 并发症; 危险因素; 谵妄
Keywords:
aortic arch;  cardiac surgical operation;  complications;  risk factors;  delirium
分类号:
R543.1
DOI:
-
文献标识码:
A
摘要:
目的:分析主动脉弓手术后谵妄的发生率和危险因素。方法:回顾分析143 例主动脉弓手术后谵妄发生率，按有无谵妄症状分成2组，对其谵妄的可能危险因素做统计学分析。结果:3例患者术后早期因心肺功能衰竭死亡外，谵妄的发生率为29.3%(41/140 例)。术后谵妄的危险因素包括：术前高血压病、脑血管疾病、糖尿病、术中低脑氧饱和度、体外循环(CPB)>200 min、术中最低收缩压、最低血压持续时间、术后发热、输血量>3 000 ml。结论:主动脉弓术后谵妄发生率为29.3%，术中最低收缩压、最低血压持续时间及CPB>200 min、术中脑氧饱和度<40%是谵妄发生的独立危险因素。
Abstract:
AIM:To observe the incidence, risk factors and prevention methods of delirium after aortic arch operation. METHODS: The incidence of delirium in 143 patients who received aortic arc operation was analyzed retrospectively. The patients were divided into 2 groups by occurrence or no occurrence of postoperative delirium and the possible deliriumcausing risk factors were analyzed. RESULTS: Except for the early postoperative death for cardiac and pulmonary failure in three patients, the incidence of delirium was 29.3% (41/140). The risk factors of postoperative delirium included 1) preoperative diseases such as hypertension, cerebrovascular diseases and diabetes mellitus; 2) lower cerebral oxygen saturation, cardiopulmonary bypass (CPB) over 200 min, the minimum systolic blood pressure and the duration of minimum blood pressure during operation, and 3) postoperative fever and blood transfusion volume over 3 000 ml. CONCLUSION: The minimum systolic blood pressure and the duration of minimum blood pressure, CPB over 200min and cerebral oxygen saturation less than 40% during operation are independent risk factors for the occurrence of delirium.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2011-11-27.
通讯作者：祁明，主治医师，主要从事重症医学研究 Email:taddy1875@hotmail.com
作者简介：袁辉，主治医师 Email:yuanhui1979525@163.com
更新日期/Last Update: 2013-07-16