青壮年择期非心脏手术后谵妄的发生率及危险因素分析
The Study of CT Perfusion Imaging in the Diagnosis of Acute Cerebral Ischemia
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摘要: [摘要]目的 探讨青壮年择期非心脏手术后谵妄的发生率及危险因素.方法 采用整群抽样调查的方法,观察2010年3至6月期间18~50岁择期非心脏手术患者,术前即存在谵妄状态或诊断为痴呆、抑郁、认知功能障碍的患者除外,符合纳入标准共1 276例.术前1 d探视病人,手术结束当日,术后1、2、3 d密切随访患者,采用谵妄评定法(CAM)进行诊断评估.记录围术期的相关因素及谵妄的发生情况,建立数据库,根据是否发生谵妄分为谵妄组和对照组.结果 有91例术后发生谵妄,发生率为7.13%.多因素Logistic逐步回归分析结果表明,全身麻醉、手术时间≥3 h、术后疼痛评分=4分、饮酒≥3次/w为谵妄的危险因素.结论 全身麻醉、长时间手术、术后剧烈疼痛、长期饮酒是青壮年择期非心脏手术后谵妄的独立危险因素Abstract: Objective To study the early diagnostic value of multi-slice spiral CT perfusion imaging (CTP)I in acute cerebral ischemia.Methods Conventional and perfusion CT scanning were performed in fifty patients suspected acute ischemia with symptom onset within one and 12 hours.CT and clinical follow up were obtained in all patients in 3~7 days after the first time of CT examination.Results In the first conventional CT scanning,21 patients were detected lesions of infarction,29 patients had negative results,but in ...
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Key words:
- Cerebral ischemia /
- Computed tomography /
- Perfusion imaging /
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