Acute cerebrovascular disorders during surgical operations on abdominal organs

Acute cerebrovascular disorders were found in 4,78% of the patients operate d on for acute abdominal diseases. Such disorders were revealed during the first 3 days of the postoperative period in 86,9% and appeared as transitor y ischemic attacks (21,9%), acute hypertensive encephalopathy (12,4%), isch emic stroke with reversible neurological deficit (27,6%), ischemic stroke w ith stable neurological deficit (20%), hemorrhagic stroke (2,9%), mixed str oke (2,9%). The pathogenesis of vascular disorder in examined cases include d systemic and cerebral hemodynamic disorders, acid-alkaline imbalance, imp aired blood gas composition and biochemical and physicochemical blood prope rties, altered cranial great arteries, cerebrovascular emboli, endogenous i ntoxication and age-related changes. In the first 24 postoperative hours, a ctovegin and instenon therapy accelerated neurological deficit regression a nd recovered cerebral hemodynamics in postoperative strokes.