国际麻醉学与复苏杂志   2025, Issue (6): 0-0
    
颈动脉内膜剥脱术后脑过度灌注综合征的临床研究进展
贾雪菲, 刘清海, 王天龙, 安奕, 李丽霞, 李中嘉, 王沛, 梁传玉, 宋宏怡, 罗荟方, 崔珂, 赵磊1()
1.首都医科大学宣武医院
Progress of clinical research on cerebral hyperperfusion syndrome after carotid endarterectomy
 全文:
摘要:

颈动脉内膜剥脱术(carotid endarterectomy,CEA)是治疗颈动脉狭窄的首选方案和金标准。脑过度灌注综合征(cerebral hyperperfusion syndrome,CHS)是CEA术后罕见却严重的并发症,如未及时发现并处理,患者可发生脑出血甚至死亡。文章主要阐述了CHS的危险因素,影像学检查与评估,以及预防和治疗手段,以期为CHS的早期识别和防治提供新的方案。

关键词: 颈动脉内膜剥脱术,脑过度灌注综合征,经颅多普勒,预防
Abstract:

Carotid endarterectomy (CEA) is the preferred option and the gold standard for the treatment of carotid artery stenosis. Cerebral hyperperfusion syndrome (CHS) is a rare but serious complication after CEA. If not detected and treated in time, the patient may have cerebral hemorrhage or even death. This review mainly describes the risk factors of CHS, imaging examination and evaluation, as well as the means of prevention and treatment, in order to provide a new plan for the early identification and prevention of CHS.

Key words: Carotid endarterectomy, Cerebral hyperperfusion syndrome, Transcranial Doppler, Cerebral hemorrhage, Prevention