摘要
术后认知功能障碍(POCD)是患者在全身麻醉和手术后出现的中枢神经系统损害。老年肿瘤患者由于肿瘤本身原因、年龄、合并多种内科疾病等因素,在全身麻醉后更容易发生POCD。本文综合评述了老年肿瘤患者术后并发POCD的常见诱因、病理生理改变、临床表现、诊断要点、治疗及预防等。
Postoperative cognitive dysfunction is the central nervous system damage that occurs after general anesthesia and surgery.Elderly patients with tumors are more likely to develop postoperative cognitive dysfunction after general anesthesia due to the tumor itself,age,and multiple medical diseases.This article comprehensively reviews the common causes,pathophysiological changes,clinical manifestations,diagnosis points,treatment and prevention of postoperative cognitive impairment in elderly patients with tumors.
作者
边志民
Zhi-min Bian(Department of Comprehensive Care,National Cancer Center/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)
出处
《中国现代医学杂志》
CAS
北大核心
2021年第13期1-4,共4页
China Journal of Modern Medicine
关键词
肿瘤
术后认知功能障碍
麻醉
老年
tumor
postoperative cognitive dysfunction
anesthesia
the aged
