课件：脑血管疾病颈动脉内膜切除术的麻醉管理双语.pptVIP

Table 2-key points of anesthetic management of CEA. Anesthetic Technique（麻醉技术） ? No proven advantage to a single technique. when using a general anesthetic technique nitrous oxide should be discontinued prior to shunt placement or reperfusion.（单一的麻醉技术没有证实的优势。当全麻时，氧化亚氮必需在分流或再灌注前停止使用） Cerebral Monitoring（脑监测） ? Neurologic status in the awake patient and the electroencephalogram may be close to a “gold” standard.（清醒病人的神经功能状态和脑电图可能接近“黄金”标准）Transcranial Doppler has the advantage of the ability to detect cerebral emboli.（经颅多普勒超声在检测脑栓塞的能力上具有优势） Table 2-key points of anesthetic management of CEA Postoperative Concerns（术后关注） ? Hemodynamic stability （血流动力学稳定） ?myocardial ischemia （心肌缺血） ?neurologic status （神经系统状况） ?hyperperfusion syndrome （高灌注综合征） ?wound hematoma （伤口血肿） ?cranial nerve dysfunction （颅神经功能障碍） Thank you! THANK YOU SUCCESS * * 可编辑 可编辑 可编辑 Anesthetic Management of Cerebrovascular Disease Carotid Endarterectomy Daniel J.Cole,M.D.Phoenix, Arizona 翻译：福建医科大学附属协和医院麻醉科规培住院医师：曾燕 脑血管疾病颈动脉内膜切除术的麻醉管理 Introduction Stroke （中风）is the third leading cause of death. carotid artery disease（劲动脉疾病） is a significant anesthetic issue （麻醉问题）for patients over 50 years of age. A stroke occurs due to occlusive or hemorrhagic conditions. Occlusive cerebrovascular disease can be thrombotic, embolic, or stenotic(血栓，栓塞或狭窄)in origin.(闭塞性或出血性中风的发生是由于闭塞性脑血管疾病，血栓，栓塞或起源于狭窄) Patients with a history of prior stroke （既往中风史）or transient ischemic attack（短暂性脑缺血发作） have an increased risk of recurrent perioperative stroke （围术期再次中风的危险）. 简介 Major symptoms of carotid artery disease include changes in vision, headache, changes in speech, or facial(发热) and extremity(四肢) weakness. Signs(体征) suggestive of carotid artery disease include a high-pitched bruit (高亢的杂音)at the origin(起源) of the internal carotid artery, increase in size and pulsation（强度） of the ipsilateral (同侧)superficial temporal artery（颞浅动脉）, and changes in the retinal examination（眼底检查）. C