摘要
目的总结我院4例患者于体外循环术后发生严重胃肠道并发症的原因及治疗。方法本院在完成500余例心脏直视手术中,有4例发生严重胃肠道并发症,发生率为0.71%。2例为冠状动脉搭桥术,1例为冠状动脉搭桥并二尖瓣置换术,1例为二尖瓣置换术,年龄47~60岁,手术后2~14d出现腹痛、腹胀和呕吐咖啡样物及排柏油样黑便。本组1例行内科治疗,3例行急诊手术。结果本组治愈3例,死亡1例,死亡率为0.24%。结论原有溃疡病史、术前心功能差、原发病严重、术后低心输出量综合征等可能是导致胃肠道并发症的原因。及时、正确的诊断及治疗非常重要。
Objective To sum up the causes and therapies of gastrointestinal complications in 4 patients who underwent cardiopulmonary bypass surgery. Methods There were 4 patients who combined serious gastrointestinal complications after cardiopulmonary bypass surgeries in more than 1500 cases. The incidence was 0.27%. These operations were CABG or/and AVR. The age was 47-60 years old. Symptoms such as abdominal pain and distension ,vomit were appeared 2-14 days later after operation.One case was managed by drugs, the others operated urgently. Results Three cases cured,1 case died,the mortality rate was 0.24%. Conclusion The history of ulcer, bad function of heart, and low output syndrome all can lead to gastrointestinal complications. Prompt and correct diagnosis and therapy are very important.
出处
《当代医学》
2009年第25期59-60,共2页
Contemporary Medicine