Laizo Artur, Delgado Francisco Eduardo da Fonseca, Rocha Glauco Mendonça
UFMG, UniversityPresidente Antonio Carlos, Juiz de Fora, MG,Brazil.
Rev Bras Cir Cardiovasc. 2010 Apr-Jun;25(2):166-71. doi: 10.1590/s0102-76382010000200007.
To show the complications that increase the permanence at intensive care unit (ICU) of the patients submitted to cardiac surgery.
Eighty-five handbooks of patients submitted to cardiac surgery had been analyzed, retrospectively, from March to May 2009 at Santa Casa de Misericórdia de Juiz de Fora (MG)--Brazil--and 14 (16.47%) patients had been studied. They remained more than 5 days at ICU. In 85 patients occurred three deaths: two patients operated in urgency character and this increases the morbidity; one patient who remained in mechanical ventilation (MV) by 21 days.
Complications that had increased the time of hospitalization at ICU had been respiratory and metabolic in accordance with literature.
Complications that increase the time of permanence at ICU are those related to respiratory function, chronic obstructive pulmonary disease, tabagism, pulmonary congestion, time of permanence under MV, diabetes, infections, renal insufficiency, stroke and hemodynamic instability.
揭示接受心脏手术的患者在重症监护病房(ICU)住院时间延长的并发症。
回顾性分析了2009年3月至5月在巴西米纳斯吉拉斯州茹伊斯迪福拉市慈悲圣母医院接受心脏手术的85例患者的病历,研究了其中14例(16.47%)在ICU停留超过5天的患者。85例患者中有3例死亡:2例为急诊手术患者,这增加了发病率;1例患者机械通气(MV)持续21天。
与文献一致,增加ICU住院时间的并发症为呼吸和代谢方面的并发症。
增加在ICU停留时间的并发症包括与呼吸功能、慢性阻塞性肺疾病、吸烟、肺充血、MV持续时间、糖尿病、感染、肾功能不全、中风和血流动力学不稳定相关的并发症。