Early postoperative complications following neurosurgical procedures
Early postoperative complications following neurosurgical procedures
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DOI：
10.1007/bf03012507
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发表时间：
1999-01-01
期刊：
影响因子：
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通讯作者：
El-Beheiry, H
中科院分区：
文献类型：
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作者：
Manninen, PH;Raman, SK;El-Beheiry, H
目的：探讨神经外科术后早期并发症的发生率及特点。方法：所有接受神经外科手术的患者术后4个月在麻醉后监护病房或重症监护病房随访4小时，患者信息和所有并发症由调查人员以标准化表格记录。并发症分为呼吸、心血管、恶心呕吐、寒战等。分析并发症发生的危险因素包括年龄、性别、ASA状态、手术类型、选择性或紧急手术和术后放置。结果：随访了486例成人患者，其中55例患者在4小时的研究期间气管仍插管，并从术后并发症分析中排除。在剩余的431例患者中，54.5%的患者至少出现了一种并发症。2.8%发生呼吸系统疾病；气道损伤4.4%，心血管并发症6.7%，神经系统并发症5.7%，恶心和/或呕吐38%。并发症发生率最高的是脊柱手术（65%）和血管手术（66%），高于肿瘤手术（47%）和其他手术（43%），P < 0.05，其他危险因素包括恶心呕吐年龄< 70岁（P < 0.02），脊柱和血管手术择期（P < 0.001）。结论：神经外科患者术后早期并发症发生率高。最常见的问题是恶心和呕吐，特别是在接受择期脊柱手术的年轻患者中。
Purpose: To assess the incidence and characteristics of early postoperative complications in patients following neurosurgical procedures.Methods: All patients undergoing neurosurgery during a four month period were followed postoperatively for up to four hours in the post anesthetic care unit or intensive care unit, Patient information and all complications were documented by the investigators on a standardized form. Complications were classified as respiratory, cardiovascular, nausea and vomiting, shivering and other. Risk factors analyzed for the occurrence of complications included age, sex, ASA status, type of surgery, elective or emergency surgery and postoperative placement.Results: Four hundred eighty six adult patients were followed, but in 55 patients the trachea remained intubated during the four hour study period and they were eliminated from the analysis of postoperative complications. At least one complication occurred in 54.5% of the remaining 431 patients. Respiratory problems occurred in 2.8%; trauma to the airway in 4.4%, cardiovascular complications in 6.7%, neurological in 5.7% and nausea and/or vomiting in 38%. The highest incidence of patients with complications was during spine (65%) and vascular (66%) surgery, compared with tumour (47%) and other (43%) surgery, P < 0.05, Other risk factors included age < 70 yr for nausea and vomiting(P < 0.02), and elective surgery for spine and vascular surgery (P < 0.001),Conclusion: There was a high incidence of early postoperative complications in neurosurgical patients. The most common problem was nausea and vomiting especially in the younger patient undergoing elective spine surgery.