体外循环心脏手术围术期脑损伤监测进展

脑损伤是体外循环心脏手术的严重并发症之一,目前患病人数在全球范围内呈逐年增高的趋势,并且临床上应用的脑保护措施效果并不确切,因此有效的神经系统监测关系到外科手术的成败和病人的预后。本文从术中脑组织氧供需平衡、栓子的监测、生化标志物和术后神经功能监测四个方面综述目前脑损伤监测的新进展。

The Advances in monitor progress of brain injury on perioperativecardiopulmonary bypass

Brain injury is considered to be one serious consequence of cardiopumonary bypass(CPB) after cardiac surgery.Curr-ently the number of such patients was increasing year by year around the world,but the applied cerebral protection showed no exact eff-ects.Therefore,the effective monitoring of the neural system is much concerned with the success of surgery and the patient’s prognosis.In this paper,we reviewed the advances in monitor progress of brain injury on perioperative cardiopulmonary bypass in recent years,including intraoperative cerebral oxygen supply-demand balance,emboli monitoring,biochemical markers and postoperative neurological monitoring.