摘要
围手术期卒中是指在手术前、手术过程中以及术后30d内出现的急性缺血性或出血性卒中。虽然近年来麻醉及外科治疗水平不断提高，但围手术期卒中发生率并无明显下降。传统血管危险因素，例如高龄、高血压、糖尿病等，亦是围手术期卒中发病的危险因素。此外，围手术期卒中与手术部位、手术方式、麻醉等围手术期事件密切相关。有关围手术期卒中的治疗和预防日益受到包括外科、麻醉科、神经内科等多个学科医生的关注。文章对围手术期卒中风险的评估、预防和治疗进行了综述。
Perioperative stroke refers to acute ischemic or hemorrhagic stroke that occurs before operation, during operation and within 30 days after operation. Although the levels of anesthesia and surgical treatment have improved in recent years, there is no significant decrease in the incidence of perioperative stroke. The traditiona/vascular risk factors, such as advanced age, hypertension, and diabetes, are also the risk factors for stroke onset. In addition, perioperative stroke is closely associated with the operation site, operation mode, anesthesia, and other perioperative events. The treatment and prevention of perioperative stroke is attracting more and more attention, including surgery, anesthesia, neurology and other clinicians. This article reviews the risk assessment, prevention, and treatment of perioperative stroke.
出处
《国际脑血管病杂志》
2016年第10期940-944,共5页
International Journal of Cerebrovascular Diseases
关键词
卒中
围手术期
危险因素
危险性评估
风险管理
血管内手术
栓子清除术
Stroke
Perioperative Period
Risk Factors
Risk Assessment
Risk Management
Endovascular Procedures
Embolectomy
