全麻手术中的脑灌注评估
Evaluation of Cerebral Perfusion during General Anesthesia
摘要: 作为人体最重要的器官之一，大脑的代谢极其活跃，长时间脑灌注不足将会给大脑带来不可逆转的伤害，因此全麻手术中的脑保护一直是麻醉界的热门话题，但在现有的设备技术条件下，麻醉医生如何才能更好地评估脑灌注情况，及时有效地采取处理措施呢？本文通过全麻手术中脑灌注的影响因素、脑灌注不足相关的并发症、目前临床上常用监测方式的优劣这几个方面来为麻醉医生们展示目前对于评估脑灌注的临床应用进展。
Abstract: As one of the most important organs of the human body, the metabolism of the brain is extremely active, and long-term insufficient cerebral perfusion will bring irreversible damage to the brain. Therefore, brain protection during general anesthesia has always been a hot topic in the field of anesthesia. However, under the existing equipment and technical conditions, how can anesthesiologists better evaluate the cerebral perfusion and take timely and effective treatment measures? In this paper, the influencing factors of cerebral perfusion during general anesthesia, the complications related to cerebral hypoperfusion, and the advantages and disadvantages of commonly used monitoring methods in clinical practice are used to show the clinical application progress of assessing cerebral perfusion for anesthesiologists.
文章引用：孔雅圆, 罗琪琛, 胡羿, 李雅兰. 全麻手术中的脑灌注评估[J]. 临床医学进展, 2025, 15(11): 139-146. https://doi.org/10.12677/acm.2025.15113077

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