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全膝关节置换术后反常性脑栓塞的研究进展

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摘要 在骨科手术术后,并发神经系统症状非常常见,择期手术中,发生率为3.6%-28.3%,股骨手术为4.0%~53.3%。在一项对4721例行关节置换术的患者的回顾性研究中,显示脑卒中的发生率为0.5%。最近一研究结果显示,单侧全膝关节置换术(total knee arthroplasty,TKA)术后,41%的患者出现明显的认知功能障碍。尽管目前对反常性脑栓塞(paradoxical cerebral embolism,PCE)的确切发生率尚不知晓,但可以肯定,部分病人脑梗塞的发生与PCE有关。
作者 李艇 黄汉伟
出处 《中华全科医学》 2014年第11期1828-1830,1877,共4页 Chinese Journal of General Practice
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