Incremental risk factors for spinal cord injury following operation for acute traumatic aortic transection.
Incremental risk factors for spinal cord injury following operation for acute traumatic aortic transection.
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急性创伤性主动脉横断术后脊髓损伤的增加危险因素。
DOI：
10.1016/s0022-5223(19)39445-0
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发表时间：
1981
期刊：
影响因子：
--
通讯作者：
Karp Rb
中科院分区：
文献类型：
--
作者：
N. Katz;E. Blackstone;J. Kirklin;Karp Rb
在1967~1980年3月31日手术治疗的35例急性外伤性上降主动脉横断患者中，33例有足够的资料分析脊髓损伤(截瘫或轻瘫)的发生率。这一事件发生在8名患者中。多因素分析显示，主动脉阻断时间较长(p=0.08)，在阻断过程中未采用分流技术对远端主动脉进行灌流，更易发生脊髓损伤。数据表明，如果预计主动脉阻断时间超过30分钟，则在主动脉阻断期间应采用分流术。
Of 35 patients operated upon for acute traumatic transection of the upper descending thoracic aorta between 1967 and March 31, 1980, 33 had sufficient information for us to analyze the incidence of spinal cord injury (paraplegia or paresis). This event occurred in eight patients. Multivariate analyses indicated that spinal cord injury was more likely to occur with long aortic cross-clamp times (p = 0.08) when no shunt was employed to perfuse the distal aorta during cross-clamping. The data suggest that if an aortic cross-clamp time exceeding about 30 minutes is anticipated, a shunt should be employed during aortic cross-clamping.