Chor Cheryl Yan Ting, Mahmood Saira, Khan Inayat Hussain, Shirke Manasi, Harky Amer
Department of Medicine, St George's Hospital Medical School, London, UK.
Department of Medicine, Queen's University Belfast, School of Medicine, Belfast, UK.
Asian Cardiovasc Thorac Ann. 2020 Nov;28(9):621-632. doi: 10.1177/0218492320949084. Epub 2020 Aug 10.
Gastrointestinal complications after cardiac surgery may be uncommon but they carry high mortality rates. Incidences range from 0.5% to 5.5%, while mortality rates of such complications vary from 0.3% to 87%. They range from small gastrointestinal bleeds, ileus, and pancreatitis to life-threatening complications such as liver failure and ischemic bowel. Due to the vague and often absence of specific signs and symptoms, diagnosis of a gastrointestinal complication is often late. This article aims to review and summarize the literature concerning gastrointestinal complications after cardiac surgery. We discuss the causes, risk factors, diagnosis, preventative measures, and management of these complications. In general, risk factor identification, preventive measures, early diagnosis, and swift management are the keys to reducing the occurrence of gastrointestinal complications and their associated morbidity and mortality.
心脏手术后的胃肠道并发症可能并不常见,但死亡率很高。发生率在0.5%至5.5%之间,而此类并发症的死亡率则在0.3%至87%之间。其范围从小的胃肠道出血、肠梗阻和胰腺炎到危及生命的并发症,如肝功能衰竭和缺血性肠病。由于症状往往模糊且缺乏特异性体征,胃肠道并发症的诊断通常较晚。本文旨在回顾和总结有关心脏手术后胃肠道并发症的文献。我们讨论了这些并发症的病因、危险因素、诊断、预防措施和管理。一般来说,识别危险因素、采取预防措施、早期诊断和迅速处理是减少胃肠道并发症及其相关发病率和死亡率的关键。