新型冠状病毒感染后急诊心血管手术预后分析  

Prognosis analysis of emergency cardiovascular surgery after SARS-CoV-2 infection

作　　者：于岩 刘楠[1] Yu Yan;Liu Nan(Center for Cardiac Intensive Care,Beijing Anzhen Hospital,Capital Medical University,Beijing Institute of Heart Lung and Blood Vessel Disease,Beijing 100029,China)

机构地区：[1]北京市心肺血管疾病研究所、首都医科大学附属北京安贞医院心脏外科危重症中心,北京100029

出　　处：《中华胸心血管外科杂志》2023年第11期641-646,共6页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的探讨新型冠状病毒感染对心血管急诊手术患者预后的影响。方法回顾性收集首都医科大学附属北京安贞医院2022年12月1日至2023年1月31日期间接受急诊心脏外科手术,术后返回心脏外科危重症中心治疗的43例患者的临床资料,根据是否感染新型冠状病毒将患者分为新型冠状感染组(22例)和非新型冠状感染组(21例)。记录两组患者术后常规实验室检查结果、并发症发生率及院内病死率。结果与非新型冠状感染组相比,新型冠状感染组患者术后的淋巴细胞计数显著降低(P<0.05),ALT、AST显著升高(P<0.05),术后新发房颤、肝功能异常、住ICU时间显著增加(P<0.05)。结论新型冠状病毒感染患者行心血管急诊手术,术后并发症发生率升高,患者ICU时间增加。Objective To investigate the influence of SARS-CoV-2 infection on patients after emergency cardiovascular surgery.Methods The clinical data of 43 patients who underwent emergency cardiac surgery and returned to the center for cardiac intensive care for treatment after surgery from December 1,2022 to January 31,2023 at Beijing Anzhen Hospital were retrospectively collected,and patients were divided into SARS-CoV-2 group(22 cases)and non-SARS-CoV-2 group(21 cases)according to whether they were infected by SARS-CoV-2.Postoperative laboratory and test results,as well as complication rates and in-hospital mortality were recorded for all patients.Results Compared with patients in the non-SARS-CoV-2 group,patients in the SARS-CoV-2 group had significantly lower postoperative lymphocyte counts(P<0.05),significantly higher ALT and AST(P<0.05),and significantly higher postoperative new-onset atrial fibrillation,abnormal liver function,and ICU time(P<0.05),and postoperative AST and postoperative LVEF were risk factors for patients with poor prognosis.Conclusion Emergency cardiovascular surgery in patients with SARS-CoV-2 infection has an increased incidence of postoperative complications,leading to increased ICU hours in patients.

关 键 词：新型冠状病毒 急性冠状动脉综合征 急性主动脉夹层 急诊手术 预后 

分 类 号：R511[医药卫生—内科学] R654[医药卫生—临床医学]