Peuhkurinen K J, Korhonen U
Department of Internal Medicine, University Central Hospital, Oulu, Finland.
Ann Clin Res. 1987;19(6):365-73.
Open heart surgery involving the use of artificial prosthetic materials, and extracorporeal circulation for varying periods, is often performed on patients seriously or acutely ill. Despite excellent surgical procedures, various postoperative complications may detract from perfect primary results. Postoperative myocardial failure and cardiac arrhythmias can be expected while vascular accidents and disorders of various organ systems are less common, but serious, complications. The treatment of these complications requires correct diagnosis without delay, their recognition being particularly difficult during the immediate postoperative period. This review deals with the incidence, diagnosis and therapy of the most important early postoperative complications specific to open heart surgery.
涉及使用人工假体材料以及进行不同时长体外循环的心脏直视手术，通常是在重症或急症患者身上实施。尽管手术操作精湛，但各种术后并发症可能会影响最初的完美效果。术后心肌衰竭和心律失常较为常见，而血管意外和各器官系统紊乱虽不常见但却很严重。这些并发症的治疗需要及时准确的诊断，而在术后即刻阶段对它们的识别尤为困难。本文综述了心脏直视手术特有的最重要早期术后并发症的发生率、诊断和治疗。
