深低温停循环术后出现神经系统并发症的危险因素分析

发布时间：2018-01-19 12:02

本文关键词： 深低温停循环神经系统并发症短暂性神经功能障碍永久性神经功能障碍　出处：《浙江大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：分析深低温停循环术后出现NS并发症的危险因素。方法：回顾性分析2013年3月至2016年3月40例行深低温停循环全弓置换手术的患者。按照术后是否发生NS并发症分为两组,进行单因素分析。结果：术后NS并发症发生率为47.5%,其中TND发生率为25%,PND发生率为22.5%,NS并发症组呼吸机时间及住院时间延长。单因素分析显示体外循环时间,深低温停循环时间、术中峰值乳酸和术中最低BE和NS并发症发生显著相关。结论：深低温停循环术后发生NS并发症是多种危险因素共同作用的结果。通过术中控制深低温停循环时间、血乳酸、碱剩余可能降低NS并发症发生的风险。
[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.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R654.1

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