心脏直视手术后神经系统并发症

Neurological complication following open heart surgery

目的：评价九十年代心脏直视手术后的神经系统并发症的发生率，严重程度以及对功能的影响。方法：对２７６例体外循环下心脏直视手术病人资料进行回顾性研究。结果：心脏直视手术的神经系统并发症的发生率为６．２％，其中１４／１７为中枢神经系统并发症，３／１７为外周神经轻瘫，除迟发性偏瘫预后较差外，其余的神经系统并发症预后较好。结论：九十年代心脏直视手术后的神经系统并发症的发生率较以前大为减少。

Objective:To evaluate the frequence and prognosis of neurological complication following open heart surgery in the 90's. Method:276 causes of open heart surgery were studied retrospectively. Result and Conclusion:A neurological event was not the cause of any patient's death. 17 patients(6.2%) had clinically significant neurological disturbance postoperatively,of these 82.4% were central and 17.6% peripheral nerve pareses. Low output syndrom(LOS) and embolization were thought to be the main causes of the central neurological complication. Except for late hemiplagia/hemiparesis, the prognostic of all other neurological complication were relatively good.