| Autor: |
Heikkinen LO, Ala-Kulju KV |
| Jazyk: |
angličtina |
| Zdroj: |
Scandinavian journal of thoracic and cardiovascular surgery [Scand J Thorac Cardiovasc Surg] 1987; Vol. 21 (1), pp. 1-7. |
| DOI: |
10.3109/14017438709116911 |
| Abstrakt: |
Open-heart surgery was performed on 1686 adult patients between 1980 and 1984, with a mortality rate due to abdominal complications of 0.6%. Every operation involved the use of cardiopulmonary bypass (CPB). Abdominal complications occurred in 1.6%, with an overall mortality rate of 36%. The most frequent complication was gastrointestinal (Gl) bleeding (61%). The mortality of the patients who bled from the Gl tract was 53%. Other complications encountered were gastroduodenal ulcer, colitis, ileus, subphrenic abscess and intraperitoneal bleeding. Prolonged CPB and low output syndrome preceded multiple organ failure, which occurred in 39% of those who had abdominal complications and in 59% of those who bled. Gl bleeding after CPB did not correlate with a previous history of gastric ulcer. Reoperation because of cardiac tamponade or excessive chest tube drainage was a factor predisposing to Gl bleeding. The mortality and abdominal complication rates were significantly higher in valve surgery than in coronary revascularization. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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