Lighthall Geoffrey K, Olejniczak Megan
Stanford University School of Medicine, Stanford, CA, USA Veterans Affairs Medical Center, Palo Alto, CA, USA
Stanford University School of Medicine, Stanford, CA, USA Veterans Affairs Medical Center, Palo Alto, CA, USA.
Semin Cardiothorac Vasc Anesth. 2015 Jun;19(2):78-86. doi: 10.1177/1089253215584993.
The postoperative course of a patient undergoing cardiac surgery (CS) is dictated by a largely predictable set of interactions between disease-specific and therapeutic factors. ICU personnel need to quickly develop a detailed understanding of the patient's current status and how critical care resources can be used to promote further recovery and eventual independence from external support. The goal of this article is to describe a typical operative and postoperative course, with emphasis on the latter, and the diagnostic and therapeutic options necessary for the proper care of these patients. This paper will focus on coronary artery bypass grafting as a model for understanding the course of CS patients; however, many of the principles discussed are applicable to most cardiac surgery patients.
接受心脏手术（CS）患者的术后病程很大程度上由疾病特异性因素和治疗因素之间一系列可预测的相互作用所决定。重症监护病房（ICU）的医护人员需要迅速深入了解患者的当前状况，以及如何利用重症监护资源来促进患者进一步康复并最终摆脱外部支持实现独立。本文的目的是描述典型的手术及术后病程，重点是术后病程，以及妥善护理这些患者所需的诊断和治疗选择。本文将以冠状动脉旁路移植术作为理解CS患者病程的模型；然而，所讨论的许多原则适用于大多数心脏手术患者。
