[Acute cerebrovascular disorders during surgical operations on abdominal organs].
Acute 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.
Kudriavtsev
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D000208:Acute Disease; D001921:Brain / Q000098:blood supply* / Q000473:pathology; D005260:Female; D006439:Hemodynamics; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*; D012189:Retrospective Studies