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目的 探讨胸、腹主动脉瘤术中脊髓缺血损伤的预防措施。方法 回顾性分析我院自1992～1998年收治的11例胸、腹主动脉瘤,应用术中SEP监测脊髓功能,采用低温麻醉并将脊髓主要供血动脉回植于人造血管上的脊髓保护效果。结果 全部病人无截瘫发生。结论 术前评估脊髓缺血的可能性,术中采用积极的脊髓保护,预防脊髓发生缺血损伤,可避免截瘫的发生。
Objective To investigate the preventive measures of spinal cord ischemic injury in thoracic and abdominal aortic aneurysms. Methods A retrospective analysis of 11 cases of thoracic and abdominal aortic aneurysms treated in our hospital from 1992 to 1998 was conducted. The intraoperative SEP was used to monitor the spinal cord function, and spinal cord protection was performed using low-temperature anesthesia and replantation of the main spinal cord feeding artery on artificial blood vessels. Results No paraplegia occurred in all patients. Conclusion Preoperative assessment of the possibility of spinal cord ischemia can be achieved by using active spinal cord protection during surgery to prevent ischemic injury of the spinal cord and to avoid paraplegia.