心脏外科胃肠并发症研究进展

Advances in gastrointestinal complications in cardiac surgery

胃肠并发症是心脏外科严重的并发症.由于其早期缺乏特异的临床症状,常常很难得到及时诊断,一旦发生常有很高的死亡率,显著增加医疗费用.术前和术中与体外循环心脏术后胃肠并发症发生相关的预测因素非常重要,这些因素可以使胃肠并发症得到早期识别,并通过有效而及早的干预降低胃肠并发症的死亡率.

Gastrointestinal （GI） complications are serious in cardiac surgery, and definite diagnosis is often delayed to due to the absence of early specific clinical signs. They are associated with higher mortality rates and medical costs. The preoperative and intraoperative predictors associated with an increased incidence of postoperative GI complications after cardiopulmonary bypass are of great importance, and investigations of these factors may lead to earlier identification of patients at an increased risk and allow more efficient and earlier interventions to reduce the mortality rate.