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Neurological complications of cardiac surgery

机译:心脏手术的神经系统并发症

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摘要

As increasing numbers of elderly people undergo cardiac surgery, neurologists are frequently called upon to assess patients with neurological complications from the procedure. Some complications mandate acute intervention, whereas others need longer term observation and management. A large amount of published literature exists about these complications and guidance on best practice is constantly changing. Similarly, despite technological advances in surgical intervention and modifications in surgical technique to make cardiac procedures safer, these advances often create new avenues for neurological injury. Accordingly, rapid and precise neurological assessment and therapeutic intervention rests on a solid understanding of the evidence base and procedural variables.
机译:随着越来越多的老年人接受心脏外科手术,神经科医生经常被要求对手术中有神经系统并发症的患者进行评估。有些并发症需要紧急干预,而另一些则需要长期观察和处理。有关这些并发症的文献很多,并且关于最佳实践的指南也在不断变化。同样,尽管在外科手术方面有了技术上的进步,并且在外科技术上做了一些改进以使心脏手术更安全,但这些进步通常为神经损伤创造了新的途径。因此,快速而精确的神经系统评估和治疗干预取决于对证据基础和程序变量的扎实了解。

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