心脏外科直视手术后周围神经系统并发症临床分析

Clinical Analysis of Peripheral Nervous System Complications after Open-heart Surgery

目的:探讨心脏外科直视手术后周围神经系统并发症的临床特征。方法:回顾性分析26例心脏外科直视手术后出现周围神经系统并发症患者的临床资料。结果:心脏外科直视手术后周围神经系统并发症发生率为1.412‰;以膈神经、喉返神经、桡神经、腓总神经损伤多见;保守治疗24例,手术治疗2例;预后较好24例,预后较差1例,死亡1例,死亡率为3.846%。结论:心脏外科直视手术后周围神经系统并发症临床并非少见,注重预防、早诊断、早治疗有助于降低发病率及改善预后。

Objective：To analyze the clinical characteristics of peripheral nervous system complications after open-heart surgery.Methods： The clinical data of 26 patients with peripheral nervous system complications after open-heart surgery were collected and retrospectively analyzed.Results： The incidence rate of the peripheral nervous system complications after open-heart surgery was 1.412‰.The phrenic nerves,recurrent laryngeal nerves,radial nerves,and common peroneal nerves were susceptible to injury.Twenty-four patients received conservative treatment and two received surgery.Twenty-four patients had a good prognosis,one had a poor prognosis,and one died.The mortality rate was 3.846%.Conclusion： The peripheral nervous system complications after open-heart surgery are not rare.To pay more efforts to preventing the complications from happening and to making early diagnosis and treatment helps to decrease the incidence rate and to improve the prognosis.