Kertsman V P, Bakhutashvili Z V, Buslenko N S, Kipshidze N N, Mnatsakanov A A, Dubrovskaia L N
Grud Serdechnososudistaia Khir. 1992(1-2):15-8.
The clinico-hemodynamic and angiographic findings in 66 patients with ischemic heart disease were analysed to identify the risk factors of complications in the digestive system and to determine the methods for their prevention after myocardial revascularization. It was found that complications in the gastrointestinal tract develop after extracorporeal circulation more often in patients with lesions of the visceral branches of the abdominal aorta than in those without them. With purposeful preventive therapy and observance of definite precautions before, during, and after the operation, the incidence of complications in abdominal organs and the organs of the retroperitoneal space reduced to one fourth while the nature of these complications was less aggressive. This was confirmed by no postoperative deaths in the group of patients who had undergone preventive treatment.
对66例缺血性心脏病患者的临床血液动力学和血管造影结果进行分析，以确定消化系统并发症的危险因素，并确定心肌血运重建术后预防这些并发症的方法。结果发现，体外循环后，腹主动脉内脏分支病变患者比无病变患者更常发生胃肠道并发症。通过有针对性的预防性治疗以及在手术前、手术期间和手术后遵守明确的预防措施，腹部器官和腹膜后间隙器官并发症的发生率降至四分之一，同时这些并发症的性质也不那么严重。接受预防性治疗的患者组无术后死亡病例，证实了这一点。
