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心脏手术后神经系统合并症 |
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危险因素[20]。 3.心脏移植后无菌型脑膜炎:29例心脏移植患者发生无菌性脑膜炎,其主要表现为发热和短暂神经功能缺失。腰穿脑脊液淋巴细胞增多[21]。 4.手术后手足徐动症:1例3岁男孩患先天性法洛四联症在术后发生手足徐动症,口面部运动障碍、肌张力下降等,在术后20个月基本恢复[22]。 5.手术后坐骨神经损害:表现为心脏手术后双下肢不对称性感觉和运动障碍,伴有明显烧灼样痛。电生理检查示坐骨神经近端损害。可能与手术中体位不当影响隐静脉,也可能术后未让患者及时直立活动有关。应该考虑到手术中体位不当导致周围神经麻痹[23]。
参考文献
1 Rosenthal DN, Frienman AH, Kleinman CS, et al. Thromboembolic complications after Fontan operations. Circulation, 1995,92 (suppl 9):11287-11293. 2 Cernaianu AC, Vassilidze TV, Flum DR, et al. Predictors of stroke after cardiac surgery. J Card Surg, 1995, 10:334-339. 3 Adair JC, Call GK, O′Connell JB, et al. Cerebrovascular syndromes following cardiac transplantation. Neurology, 1992,42:819-823. 4 Mizuhara A, Ino T, Adachi H, et al. Cerebral infarction after the cardiov ascular operation. Nippon Kyobu Geka Gakkai Zasshi, 1995,43:1907-1912. 5 Johansson T, Aren C, Fransson SG, et al. Intra-and postoperative cerebral complications of open-heart surgery. Scand J Thor Card Surg, 1995,29:17-22. 6 Rao V, Christakis GT, Weisel RD, et al. Risk factors for stroke following coronary bypass surgery. J Card Surg, 1995, 10 (suppl 4):468-474. 7 Fallon P, Aparicio JM, Elliott MJ, et al. Incidence of neurological complications of surgery for congenital heart disease. Arch Dis Child, 1995,72:418-422.
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