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[Acute cerebrovascular disorders during surgical operations on abdominal organs]

AbstractAcute cerebrovascular disorders were found in 4.78% of the patients operated on for acute abdominal diseases. Such disorders were revealed during the first 3 days of the postoperative period in 86.9% and appeared as transitory ischemic attacks (21.9%), acute hypertensive encephalopathy (12.4%), ischemic stroke with reversible neurological deficit (27.6%), ischemic stroke with stable neurological deficit (20%), hemorrhagic stroke (2.9%), mixed stroke (2.9%). The pathogenesis of vascular disorder in examined cases included systemic and cerebral hemodynamic disorders, acid-alkaline imbalance, impaired blood gas composition and biochemical and physicochemical blood properties, altered cranial great arteries, cerebrovascular emboli, endogenous intoxication and age-related changes. In the first 24 postoperative hours, actovegin and instenon therapy accelerated neurological deficit regression and recovered cerebral hemodynamics in postoperative strokes.
AuthorsA A Kudriavtsev
JournalZhurnal nevrologii i psikhiatrii imeni S.S. Korsakova / Ministerstvo zdravookhraneniia i meditsinskoĭ promyshlennosti Rossiĭskoĭ Federatsii, Vserossiĭskoe obshchestvo nevrologov [i] Vserossiĭskoe obshchestvo psikhiatrov (Zh Nevrol Psikhiatr Im S S Korsakova) Vol. 100 Issue 7 Pg. 14-7 ( 2000) ISSN: 1997-7298 RUSSIA
Vernacular TitleOstrye narusheniia mozgovogo krovoobrashcheniia pri operatsiiakh na organakh briushnoĭ polosti.
PMID10957794 (Publication Type: English Abstract, Journal Article)
Topics
  • Acute Disease
  • Brain (blood supply, pathology)
  • Female
  • Hemodynamics
  • Humans
  • Ischemic Attack, Transient (diagnosis)
  • Laparoscopy (methods)
  • Male
  • Middle Aged
  • Postoperative Complications (diagnosis)
  • Retrospective Studies