St George's, University of London, Cranmer Terrace, UK.
The Shrewsbury & Telford NHS Trust, Princess Royal Hospital, Telford, UK.
Scand J Surg. 2021 Jun;110(2):187-192. doi: 10.1177/1457496920983618. Epub 2020 Dec 29.
Although advances in knowledge and technology have improved outcomes in surgical cardiac patients over the last decade, complications following cardiac operations still remain to be potentially fatal. Gastrointestinal complications, in particular, tend to have high rates of reintervention and mortality following cardiac surgery, with ischemia and hemorrhage being two of the commonest underlying causes. The intention of this review is to identify which risk factors play important roles in predisposing patients to such complications and to gain better insight into the pathogenesis of the sequelae. Furthermore, strategies for prevention have been discussed to educate and increase awareness of how adverse cardiac surgical outcomes can be minimized.
尽管过去十年中,知识和技术的进步提高了心脏外科患者的治疗效果,但心脏手术后的并发症仍然可能致命。特别是胃肠道并发症,在心脏手术后再次干预和死亡率较高,其中缺血和出血是两个最常见的潜在原因。本文旨在确定哪些危险因素使患者易患此类并发症,并深入了解并发症的发病机制。此外,还讨论了预防策略,以教育和提高人们对如何最大限度地减少心脏手术不良后果的认识。