本文關鍵詞： 深低溫停循環(huán) 神經(jīng)系統(tǒng)并發(fā)癥 短暫性神經(jīng)功能障礙 永久性神經(jīng)功能障礙　出處：《浙江大學》2016年碩士論文　論文類型：學位論文

【摘要】：目的：分析深低溫停循環(huán)術后出現(xiàn)NS并發(fā)癥的危險因素。方法：回顧性分析2013年3月至2016年3月40例行深低溫停循環(huán)全弓置換手術的患者。按照術后是否發(fā)生NS并發(fā)癥分為兩組,進行單因素分析。結果：術后NS并發(fā)癥發(fā)生率為47.5%,其中TND發(fā)生率為25%,PND發(fā)生率為22.5%,NS并發(fā)癥組呼吸機時間及住院時間延長。單因素分析顯示體外循環(huán)時間,深低溫停循環(huán)時間、術中峰值乳酸和術中最低BE和NS并發(fā)癥發(fā)生顯著相關。結論：深低溫停循環(huán)術后發(fā)生NS并發(fā)癥是多種危險因素共同作用的結果。通過術中控制深低溫停循環(huán)時間、血乳酸、堿剩余可能降低NS并發(fā)癥發(fā)生的風險。
[Abstract]:Objective: to analyze the risk factors of NS complications after deep hypothermia circulatory arrest. From March 2013 to March 2016, 40 patients undergoing deep hypothermia circulatory arrest total arch replacement were analyzed retrospectively. The patients were divided into two groups according to the postoperative complications of NS. Results: the incidence of postoperative complications of NS was 47.5, and the incidence of TND was 22.5%. The ventilator time and hospitalization time were prolonged in NS group. Univariate analysis showed cardiopulmonary bypass time and deep hypothermic circulatory arrest time. The intraoperative peak lactate level was significantly correlated with the intraoperative minimum be and NS complications. Complications of NS after deep hypothermia circulatory arrest were the result of multiple risk factors. Blood lactate and alkali residue may reduce the risk of complications of NS.
【學位授予單位】：浙江大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R654.1

【參考文獻】

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1 董媛媛;楊許麗;王U嗗，

本文編號：1444068