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颈动脉内膜切除术麻醉学进展 被引量：1

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摘要 颈动脉内膜切除术（CEA）是为了改善脑血液供应，预防并治疗因颈动脉颅外段严重狭窄（动脉管径狭窄〉70％）而引起的缺血性卒中的外科手术方法，亦是治疗颈动脉狭窄和完全闭塞简单、有效且经济的方法。随着麻醉及术中监测技术的提高。颈动脉内膜切除术麻醉的重点已从单纯满足手术需要发展到术中神经功能的监测与保护：一、麻醉方法的选择对实施颈动脉内膜切除术的患者是行局部麻醉还是全身麻醉，至今仍存争议。大多数临床研究结果显示，采用局部麻醉方法患者神志清醒，仅需通过简单的临床判断即能够监测到脑灌注状态：
作者 冯华 王天龙
机构地区 首都医科大学宣武医院麻醉科
出处 《中国现代神经疾病杂志》 CAS 2010年第4期420-425,共6页 Chinese Journal of Contemporary Neurology and Neurosurgery
关键词 麻醉 颈动脉内膜切除术 综述文献
分类号 R614 [医药卫生—麻醉学]
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参考文献49

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同被引文献20

  • 1Sandercock P. Stroke: carotid stenosis. Surgery or stenting to prevent stroke? Nat Rev Neurol, 2010, 6:647-645.
  • 2Kulikov AS, Lubnin AY. Dexmedetomidine: new opportunities in anesthesiology. Anesteziol Reanimatol, 2013, (1):37-41.
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  • 5Stilp E, Baird C, Gray WA, Schneider PA, Simonton CA, Verta P, Mena-Hurtado CI. An evidence-based review of the impact of periprocedaral myocardial infarction in carotid revascularization. Catheter Cardiovasc Interv, 2013, 82:709-714.
  • 6Kobayashi M, Ogasawara K, Yoshida K, Sasaki M, Kuroda H, Suzuki T, Kubo Y, Fujiwara S, Ogawa A. Intentional hypertension during dissection of carotid arteries in endarterectomy prevents postoperative development of new cerebral ischemic lesions caused by intraoperative microemboli. Neurosurgery, 2011, 69:301-307.
  • 7Parlani G, De Rango P, Cieri E, Verzini F, Giordano G, Simonte G, Isernia G, Cao P. Diabetes is not a predictor of outcome for carotid revascularization with stentir~g as it may be for carotid endarterectomy. J Vasc Surg, 2012, 55:79-89.
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中国现代神经疾病杂志
2010年 第4期

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