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心肺转流(CPB)后胃肠并发症较少,但若一旦发生,则常较严重而能致命。作者报告1970～1981年经 CPB 心血管手术5,080例,术后发生胃肠并发症43例,发病率为0.85%(成人41例,儿童2例)。全组共施行了12种手术,大部分病例为冠状动脉手术。单纯冠状动脉搭桥术的术后胃肠并发症为0.75%;二尖瓣替换组为0.74%,冠状动脉搭桥加主动脉瓣替换组为0.83%;而以冠状动脉搭桥加主动脉瓣、二尖瓣双瓣替换组最高,为4.34%。43例中死亡27例,死亡率为63%。胃肠并发症有:(1)胃肠出血—19例。平均年龄
Cardiopulmonary bypass (CPB) gastrointestinal complications less, but if it happens, it is often more serious and can be fatal. The authors reported 5,080 patients undergoing cardiovascular surgery for CPB from 1970 to 1981 with 43 gastrointestinal complications postoperatively, with a morbidity of 0.85% (41 adults and 2 children). The whole group performed 12 kinds of surgery, most cases of coronary artery surgery. Postoperative gastrointestinal complications were 0.75% for simple coronary artery bypass grafting, 0.74% for mitral valve replacement and 0.83% for coronary artery bypass plus aortic valve replacement. However, coronary artery bypass grafting plus aortic valve, The highest rate of valve double valve replacement was 4.34%. Twenty-seven of the 43 patients died with a mortality rate of 63%. Gastrointestinal complications are: (1) gastrointestinal bleeding -19 cases. average age