摘要
目的 :调查心血管手术后早期神经精神并发症的种类和总发病率。方法 :调查 16周岁以上患者 398例 ,其中先天性心脏病 82例 ,风湿性心脏病及瓣膜病 175例 ,冠心病 10 1例 ,大血管病 32例 ,心脏肿瘤 8例。女性 15 2例 ,男性 2 46例。以标准化临床神经功能检查法为主 ,必要时行计算机断层摄影术、脑电图等检查 ,评估心血管手术后早期患者的神经精神功能 ,于术前 1日进行 ,术后第 1日始每日随访 1次 ,至术后第 7日。结果 :术后第 1日神经精神功能障碍的总发病率为 35 4 %,术后第 7日内脑卒中的发病率为 5 3%,持续性脑病为 8 0 %,术后第 7日仍有 5 5 %遗留不同程度的功能障碍。结论 :心血管手术后早期神经精神障碍的发病率相当高 ,通过术后早期详尽的神经精神功能检查即可发现 ,应引起临床重视。
Objective:To investigate the morbidity of neuropsychiatric disorder in the early period after cardiovascular surgery. Methods:We performed standard neurologic examinations,including computer topography,elctroencephalogrphy in 398 patients (152 females and 246 males,age>16) undergoing cardiovascular surgery.The patients were examined 1 day before and 1-7 days after surgery. Results:The study population included 82 patients with congenital heart disease,175 with valves heart disease,101 with coronary artery disease,32 with major vascular disease and 8 with cardiac tumor.Our investigation demonstrated that the morbidity rates were 35.4% on the first day,and 5.5% on the 7th day after surgery.The major complications were stroke and prolonged encephalopathy (5.3% vs.8.0%). Conclusions:The morbidity of neuropsychiatric disorder following cardiovascular surgery is very high in the early postoperative period,which we should pay full attention to.We can find these abnormoalities by standard neurologic examinations.
出处
《中国循环杂志》
CSCD
北大核心
2001年第5期369-371,共3页
Chinese Circulation Journal