Med J Chin PLA,Vol.48,No.5,May 28,2023489指南与共识心脏重症围手术期脑损伤中西医结合诊治专家共识中国医师协会心脏重症专业委员会，中国医药教育协会重症医学专业委员会，中国研究型医院学会神经再生与修复专业委员会心脏重症脑保护学组，过宁省护理学会，过宁省互联网协会智慧医养结合工作委员会，过宁省老年服务业联合会[中图分类号]R651.15[文献标志码]A[D01]10.11855/1isn.0577-7402.2023.05.0489[声明]本文所有作者声明无利益冲突。本研究未受恒健达辽宁医学科技有限公司、沈阳恒德医疗器械研发有限公司及其他公司赞助，无利益冲突[引用本文]中国医师协会心脏重症专业委员会，中国医药教有协会重症医学专业委员会，中国研究型医院学会神经再生与修复专业委员会心脏重症脑保护学组，等.心脏重症围手术期脑损伤中西医结合诊治专家共识[].解放军医学杂志2023,48(5)：489-500.[收稿日期]2023-02-14[录用日期]202302-27[上线日期2023-03-22[摘要]心脏重症围手术期脑损伤是导致行心脏手术的重症患者临床治疗效果不佳、预后不良的重要因素。为了降低心脏重症围手术期脑损伤并发症的发生率，减少脑损伤导致的不良后果，促进心脏外科术后患者的神经系统康复，提高患者生活质量并获得最佳预后，中国医师协会心脏重症专业委员会、中国医药教有协会重症医学专业委员会、中国研究型医院学会神经再生与修复专业委员会心脏重症脑保护学组等组织制定此专家共识，旨在帮助临床医师提高心脏重症围手术期脑损伤诊治水平。本共识包括成人心脏外科围手术期脑损伤的中西医表征及发生机制、监测手段，以及中西医治疗与干预等方面，供临床工作参考。[关键词]心脏重症；围手术期；体外循环；脑卒中；认知功能障碍；中西医结合治疗；共识Expert consensus on the diagnosis and treatment of perioperative brain injury by integratedtraditional Chinese and Western medicine in cardiac intensive diseaseCardiac Intensive Care Professional Committee of Chinese Medical Doctor Association;Critical Care MedicineProfessional Committee of Chinese Medical Education Association;Cerebral Protection in Cardiac Intensive CareGroup,Neural Regeneration and Repair Committee,Chinese Research Hospital Association;Liaoning NursingAssociation;Liaoning Province Internet Intelligent Combination of Medical Care Professional Committee;LiaoningElderly Service AssociationCorresponding author.Qu Hong,E-mail:hanxiyao@163.com;Han Hong-Guang,E-mail:13309883275@163.com;Liu Yun-En,E-mail:lye9901@163.com[Abstract]The perioperative brain injury is an important factor leading to poor clinical treatment effect and poorprognosis of critically ill patients undergoing cardiac surgery.In order to reduce the incidence of brain injury complications duringperioperative period of cardiac disease,decrease the adverse consequence of brain injury,improve the neurological rehabilitationof patients after cardiac surgery,and enhance the quality of life and obtain the best prognosis of patients.Cardiac Intensive CareProfessional Committee of Chinese Medical Doctor Association,Critical Care Medicine Professional Committee of Chinese MedicalEducation Association,Cerebral Protection in Cardiac Intensive Care Group of Neural Regeneration and Repair Committee ofChinese Research Hospital Association,and Liaoning Province Internet Intelligent Combination of Medical Care ProfessionalCommittee write the consensus.It aims to help clinicians improve the level of diagnosis and treatment of brain injury duringperioperative period of cardiac critical care patients.The consensus include the characteristics and mechanisms of Chinese andWestern medicine,monitoring methods,Chinese and Western medicine intervention and treatment of perioperative brain injury inadult cardiac surgery,thus providing apply reference for clinical work.[Key words]critical cardiac illness;perioperative period;cardiopulmonary bypass;stroke;cognitive dysfunction;integratedtraditional Chinese and Western medicin
