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首页> 外文期刊>Open Journal of Urology >Cerebral Infarction after Spine Surgery: Report of Two Cases
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Cerebral Infarction after Spine Surgery: Report of Two Cases

机译：脊柱外科手术后脑梗死2例报告

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摘要

There has been an increase in spinal surgery for the elderly, with a corresponding potential increase in perioperative complications. In our department, 1833 patients underwent spinal surgery under general anesthesia from April 2001 to October 2012, and 2 of 260 patients aged ≥75 years old had postoperative cerebral infarction. An analysis of the pathogenic mechanism and potential risk factors showed that a history of cerebral infarction was a significant risk factor. Blood pressure rapidly increased on arousal from anesthesia, and particularly on extubation. The change in blood pressure was examined as a potential risk factor for cerebral infarction, but no significant relationship was observed. This result requires further examination in more patients with cerebral infarction after spinal surgery.
机译：老年人的脊柱外科手术有所增加，围手术期并发症也相应增加。在我科，从2001年4月至2012年10月，在全麻下进行脊柱外科手术的患者为1833例，在260名年龄≥75岁的患者中，有2例术后脑梗死。对致病机理和潜在危险因素的分析表明，脑梗塞病史是重要的危险因素。麻醉引起的血压升高迅速，尤其是拔管时。血压的变化被认为是脑梗死的潜在危险因素，但未发现明显的相关性。脊柱手术后更多的脑梗死患者需要进一步检查这一结果。

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