重视围手术期脑卒中的识别与管理

Pay attention to the identification and management of perioperative stroke

围手术期脑卒中是一种严重的并发症, 可导致患者围手术期死亡、住院时间延长和出现神经功能损害。早期识别和诊断是改善围手术期脑卒中患者预后的关键, 外科医师应充分了解患者存在的危险因素, 早期快速识别症状并及时诊断。围手术期脑卒中预防策略的核心是延迟手术时间、控制已知危险因素、药物干预(如使用抗血小板药物或抗凝药物)、优化患者的基础疾病控制, 以及在术前评估中识别高风险患者, 从而实施更加个性化的围手术期管理计划, 降低围手术期脑卒中的发生率和相关的不良结果。

Perioperative stroke is a serious complication that leads to perioperative death,prolonged hospitalization,and permanent or temporary neurological impairment.Early identification and diagnosis is the key of improving the prognosis of perioperative stroke patients,which requires surgeons to have a complete understanding of patient risk factors,early rapid identification of symptoms and timely diagnosis.The core of the prevention strategy is delaying the operating time,reducing known risk factors,drug intervention(such as the use of antiplatelet drugs or anticoagulants),optimizing the control of the basic disease,and identifying high-risk patients in the preoperative evaluation to implement a more personalized perioperative management plan,to reduce the incidence of perioperative stroke and related adverse consequences.