Widera R, Lindenau K F, Prehl J, Grossmann M
Klinik für Herz- und Gefässchirurgie, Bereich Medizin der Karl-Marx-Universität Leipzig.
Zentralbl Chir. 1990;115(14):885-91.
Reported in this paper are 17 abdominal complications among 2,161 patients, following cardiac surgery, using cardiopulmonary bypass. This incidence is comparatively low, accounting for only 0.78 percent, whereas figures between 0.3 and 1.6 percent have been reported in the international literature. Lethality worldwide has been quoted to be between 25 and 50 percent and amounted to 23.5 percent for the above patients. This seems to underscore the great importance of early decision-making on appropriate therapy. Haemorrhage from the upper gastro-intestinal tract due to stress-related ulcers had been the predominant finding in this study. Acute pancreatitis developed in two patient, one of them ending in death. Acute cholecystitis and ischaemic colonic gangrene were additional complications. No significant extension of perfusion periods was established, which was in deviation from findings made by other authors.
本文报道了2161例接受体外循环心脏手术患者中的17例腹部并发症。该发生率相对较低，仅占0.78%，而国际文献报道的发生率在0.3%至1.6%之间。全球范围内的致死率据说是在25%至50%之间，上述患者的致死率为23.5%。这似乎突出了早期做出适当治疗决策的重要性。应激性溃疡导致的上消化道出血是本研究中的主要发现。两名患者发生了急性胰腺炎，其中一人死亡。急性胆囊炎和缺血性结肠坏疽是另外的并发症。未发现灌注时间有明显延长，这与其他作者的研究结果不同。
