关于监测深低温停循环主动脉手术期间脊髓缺血性损伤的思考

脊髓缺血再灌注损伤（spinal cord ischemic reperfusion injury，SCIRI）是深低温停循环（deep hypothermic circulatoryarrest，DHCA）主动脉手术期间一种致命性的并发症，它对患者和其家属及医务人员带来严重的身心危害。在DHCA主动脉手术期间早期监测...

Thinking about the Monitoring of the Spinal Cord Ischemic Reperfusion Injury during the Aortic Surgery with Deep Hypother- mic Circulatory Arrest

Spinal cord ischemic reperfusion injury（SCIRI）is a fatal complication during the aortic surgery with deep hypothermic circulatory arrest（DHCA）, which can induce seriously physical and psychological harm to the patients themselves , their families and the related medical staffs. In the article, the necessity of the early monitoring and detection of the SCIRI during the aortic surgery with DHCA was pointed out by the authors, and the feasibility for doing this was demonstrated. For the effective monitoring of the SCIRI, the following issues were pondered by the authors, the feasibility and the practicality of the used monitoring instruments, the sensitivity and the specificity of the selected monitoring indicators, and the optimization of monitoring costs.