期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

神经电生理监测在大血管手术中的应用历史、现状与发展趋势 被引量：3

原文传递
导出
摘要 1.概述：（1）大血管手术的特点：大血管手术涉及升主动脉、主动脉弓部、胸降主动脉和腹主动脉的外科开放手术,对中枢神经系统有一定影响,最常见的损伤机制,是动脉灌注低和动脉栓塞导致的缺血和再灌注损伤.对于脑组织,血流下降到缺血阈值以下,梗死所需时间就会减少,这时如果代谢正常,细胞3～4h后死亡;血流进一步降低,梗死在更短时间内发生,无灌注而代谢正常,细胞3～5 min死亡.同样,如果脊髓血流完全消失,8 min内脊髓神经元死亡;不完全性缺血,15 min后即可导致瘫痪.
作者 段玉印 孙立忠
机构地区 昆明医科大学第一附属医院心外科 首都医科大学附属北京安贞医院心外科
出处 《中华医学杂志》 CAS CSCD 北大核心 2015年第21期1639-1641,共3页 National Medical Journal of China
关键词 大血管手术 神经电生理监测 手术中 神经元死亡 再灌注损伤 脊髓血流 应用 中枢神经系统
分类号 R741.044 [医药卫生—神经病学与精神病学] R654 [医药卫生—外科学]
  • 相关文献

参考文献14

  • 1Connolly JE. Hume Memorial lecture. Prevention of spinal cord complications in aortic surgery[J]. Am J Surg , 1998, 176 (2) : 92-101.
  • 2Bischoff MS, Di Luozzo G, Griepp EB, et al. Spinal cord preservation in thoracoabdominal aneurysm repair [ J ]. Perspect Vasc Surg Endovasc Ther, 2011, 23(3) : 214-222.
  • 3Jantti V, Sloan T. Anesthesia and intraoperative electroencephalographic monitoring [ M ] // Nuwer M, ed. Intraoperative Monitoring of Neural Function, Handbook of Clinical Neurophysiology. New York : Elsevier, 2008:77-93.
  • 4Passmore SR, Murphy B, Lee TD. The origin, and application of somatosensory evoked potentials as a neurophysiological technique to investigate neuroplasticity [ J ]. J Can Chimpr Assoc , 2014, 58 : 170-183.
  • 5Jameson LC. Transcranial motor evoked potentials [ M ] // Koht A, Sloan TB, Toleikis JR eds. Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals [ M ]. New York: Springer, 2012: 27-45.
  • 6Cunningham JJ, Laschinger JC, Merkin HA, et al. Measurement of spinal cord ischemia during operations upon the thoracic aorta: initial clinical experience[ J]. Ann Surg, 1982, 196 : 285-296.
  • 7Cunningham JJ, Laschinger JC, Spencer FC. Monitoring of somatosensory evoked potentials during surgical procedures on the thoracoabdominal aorta. IV. Clinical observations and results[ J]. J Thorac Cardiovasc Surg, 1987, 94(2) : 275-285.
  • 8de Haan P, Kalkman CJ. Spinal cord monitoring: somatosensory- and motor-evoked potentials[ J]. Anesth Clin North Am ,2001, 19 : 923 -945.
  • 9de Haan P, Kalkman CJ, de Mol BA, et al. Efficacy of transcranial motor-evoked myogenic potentials to detect spinal cord ischemia during operations for thoracoabdominal aneurysms [ J ]. J Thorac Cardiovasc Surg, 1997, 113 (1): 87-100.
  • 10Jacobs M J, Meylaerts SA. Assessment of spinal cord ischemia by means of evoked potential monitoring during thoracoabdominal aortic surgery~ J 1. Semin Yasc Surg, 2000 ,13:299-3133.

同被引文献29

  • 1BG Carter. Are somatosensory evoked potentials the best predictor of outcome after severe brain injury? A systematic review [ J]. Intensive Care Med, 2005, 31 (6) :765-775.
  • 2Diedler J , Sykora M , Bast T, et al. Quantitative EEG Correlates of Low Cerebral Perfusion in Severe Stroke [ J ]. Neurocrit Care, 2009, 11(2) :210-216.
  • 3Claassen J, Hirseh LJ, Kreiter KT,et al. Quantitative continuous EEG for detecting delayed cerebral isehemia in patients with poor- grade subaraehnoid hemorrhage [ J ]. Clin Neurophysiol, 2004, 115(12) :2699-2710.
  • 4Diedler J, Sykora M , Bast T , et al. Quantitative EEG Correlates of Low Cerebral Perfusion in Severe Stroke [ J ]. Neurocfit Care, 2009, 11(2) :210-216.
  • 5BG Carter. Are somatosensory evoked potentials the best predictor of outcome after severe brain injury? A systematic review [ J]. Intensive Care Med, 2005, 31 (6) :765-775.
  • 6Diedler J , Sykora M , Bast T, et al. Quantitative EEG Correlates of Low Cerebral Perfusion in Severe Stroke [ J ]. Neurocrit Care, 2009, 11 (2) :210-216.
  • 7Claassen J, Hirsch LJ, Kreiter KT,et al. Quantitative continuous EEG for detecting delayed cerebral ischemia in patients with poor- grade subarachnoid hemorrhage [ J ]. Clin Neurophysiol, 2004, 115(12) :2699-2710.
  • 8Diedler J, Sykora M , Bast T , et al. Quantitative EEG Correlates of Low Cerebral Perfusion in Severe Stroke [ J ]. Neurocrit Care, 2009, 11 (2) :210-216.
  • 9Wynn MM, Acher CW. A modem theory of spinal cord ischemia/ injury in thoracoabdominal aortic surgery and its implications for prevention of paralysis[J].J Cardiothorac Vasc Anesth,2014,28 (4) :1088-1099. DOI: 10. 1055/j. jvca. 2013. 12. 015.
  • 10McGarvey ML. Effective tool or necessary evil: intraoperative monitoring during thoracic aneurysm repairs [ J ]. J Clin Neurophysiol, 2012,29 (2) : 154-156. DOI: 10. 1097/WNP. 0b013e31824f877d.

引证文献3

二级引证文献10

中华医学杂志
2015年 第21期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部