术后出现一过性神经功能障碍加重6例,持久性功能障碍加重4例。
Temporary nerve dysfunction aggravated in 6 cases postoperatively and permanent dysfunction in 4.
临床随访105例病人死亡1例,术后遗留永久性神经功能障碍2例。
Clinical follow-up performed in 105 patients, among them 1 patient died and 2 patients still remained permanent complication.
目的总结动脉瘤手术后血管痉挛及延迟性缺血性神经功能障碍(DIND)的防治经验。
Objective to summarize the experience of treating postoperative cerebral vasospasm and related delayed ischemic neurological deficit (DIND) of intracranial aneurysm.
目的:探讨脑血管痉挛与延迟性缺血性神经功能障碍(DIND)发生之间的相关关系。
Objective: To investigate the relationship between cerebral vasospasm and occurrence of delayed ischemic neurological deficit (DIND).
w(新的TIA定义为:由于脑、脊髓或视网膜局灶性缺血引起的、未伴发急性梗死的短暂性神经功能障碍。)
Transient ischemic attack (TIA):a transient episode of neurological dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction.
需要使用仔细的术前功能评估和系统的术后评估的前瞻性研究可能会发现更高的术后尺神经功能障碍发病率。
Prospective studies using careful preoperative nerve evaluation and systematic postoperative nerve assessment are likely to identify an even higher incident of postoperative ulnar nerve dysfunction.
结论:延迟性低温可以减轻全脑缺血后神经功能障碍和海马神经元坏死,但作用不及即刻低温。
CONCLUSION: Delayed hypothermia can alleviate neural dysfunction and neuron necrosis in hippocampus after cerebral ischemia but it function is not as good as immediate hypothermia.
机械性牵张和髓核的刺激都可能引起的神经功能障碍。
Both mechanical deformation and the irritation of nuclear components may cause nerve dysfunction.
脊髓损伤(SCI)通常导致灾难性的神经功能障碍,是目前研究的热点之一。
Spinal cord injury(SCI) usually results in devastating neural dysfunction, thus it has been a re- search focus for many years.
术后发生肺炎2例(3.4%),肠系膜上动脉综合征2例(3.4%),一过性单侧或双侧下肢神经功能障碍5例(8.6%)。
No patients developed severe complications while 2 had pneumonia (3.4%), 2 had superior mesenteric artery syndrome (3.4%) and 5 had temporary dysfunction of one or both lower extremity (8.6%).
术后发生肺炎2例(3.4%),肠系膜上动脉综合征2例(3.4%),一过性单侧或双侧下肢神经功能障碍5例(8.6%)。
No patients developed severe complications while 2 had pneumonia (3.4%), 2 had superior mesenteric artery syndrome (3.4%) and 5 had temporary dysfunction of one or both lower extremity (8.6%).
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