PERIOPERATIVE NEUROLOGICAL COMPLICATION - REPORT OF ONE CASE

中樞神經系統併發症－病例報告

陳元豹(Yuen-Pao Chen)

Acta Anaesthesiologica Sinica

28卷3期（1990 / 09 / 01）

373 - 376

英文

Perioperative stroke is umcommon and occurring in 0.38% of male general surgical patients over age 50. Even in elderly patients who have a higher incidence of all types of perioperative complications, perioperative cerebral infarction occurs in only 1.0-2.5% of major general surgical procedures. Patient who undergo aortoiliac surgery, considered to be at special risk for perioperative stroke due to the relative high prevalence of coexistent carotid atherosclerosis and intraoperative hypotension, have a perioperative stroke rate of only 1%. Many perioperative cerebral infarction occurs in the postoperative period and the mechanism is often uncertain. We reported a case of postoperative stroke and discussed the possible causes and management.

在手術病患中中樞神經系統併發症發生率為1%－2.5%。大部份發生在手術後幾個小時而且原因不明顯。本文提出一名55歲女性病患接受子宮切除手術後發生腦中風的病例來探討它的可能原因並針對其在麻醉方面所須的處理做深入討論。