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心脏手术后的胃肠道并发症
Klara Schwarzova1, Sameer Damle1, Frank William Sellke2
1Department of Surgery, Ascension Saint Agnes Hospital, Baltimore, Maryland, USA.
心脏手术后的胃肠道并发症很少见,但很严重. 本综述涵盖了诸如麻性大肠,出血和缺血等常见问题,强调早期识别以获得更好的患者结果.
科学领域:
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
背景情况:
- 心脏手术后的胃肠道 (GI) 并发症不常见,但与显著的死亡率有关.
- 了解这些并发症对于改善复杂心脏手术后患者的治疗结果至关重要.
研究的目的:
- 为了回顾心脏手术后遇到的最常见的胃肠道并发症.
- 让医疗保健提供者熟悉这些不良事件的呈现,风险因素和管理.
主要方法:
- 在PubMed数据库上进行了全面的文献搜索,确定了自2010年以来发表的70多篇文章.
- 本次审查包括了40篇相关文章,综合了心脏手术后胃肠道并发症的发现.
主要成果:
- 发现的最常见的胃肠道并发症包括麻性阴茎,胃肠道出血和肠道缺血.
- 确定的主要危险因素是术前使用血管压缩剂,手术时间延长和心肺旁路时间延长.
- 在心脏手术后的患者中,因输管和有限的体检而改变的表现需要提高临床意识.
结论:
- 早期检测和迅速,积极的管理对于缓解心脏手术后胃肠道并发症相关的高死亡率至关重要.
- 本综述为临床医生管理心脏手术后患肠道疾病风险的患者提供了必要的见解.
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