心脏外科术后发生胃肠道并发症的最新进展  

Recent advances of gastrointestinal complications after cardiac surgery

作　　者：李荣[1] 李卫国[1] 吴兵[1] 王朝晖[1] 李俊峰[1] 勾龙飞[1] LI Rong LI Weiguo WU Bing WANG Zhaohui LI Junfeng GOU Longfei(Department of Cardiovascular Surgery, Jinzhou Central Hospital, Jinzhou, Liaoning 121000, P.R.China)

机构地区：[1]锦州市中心医院心血管外科,辽宁锦州121000

出　　处：《中国胸心血管外科临床杂志》2017年第1期69-74,共6页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：心脏术后胃肠道的并发症包括轻微的消化道出血至暴发性肝功能衰竭。虽然这些并发症的总体发生率低,但心脏术后胃肠道并发症一旦出现,会导致心脏术后很高的病死率。由于多种因素,胃肠道并发症的诊断困难。胃肠道并发症的发病机制有很多,目前已经确定了胃肠道并发症的多种危险因素。因而在围手术期早期识别并发症并采取预防措施至关重要。本综述通过相关医学文献检索,对最近重要的前瞻性和回顾性的文献进行整理后总结了关于心脏手术后胃肠道并发症的发病率、发病机制、危险因素、预防和管理最新进展,以指导临床实践。Gastrointestinal （GI） complications after heart surgery included slight bleeding through fulminant hepatic failure. Although overall rate of these complications is low, it can lead to high mortality after heart surgery. Diagnosis of GI complication is difficult. Risk factors for GI complications are clear. Mechanisms of complications are various. Therefore, we collected the recent prospective and retrospective literatures to sumarize mortality of GI complications, pathogenesis, risk factors, recent progress of prevention and management, to guide clinical practice.

关 键 词：心脏手术 冠状动脉旁路移植术 体外循环 胃肠道并发症 

分 类 号：R654.2[医药卫生—外科学]