心脏直视手术后小肠出血性坏死及急性胰腺炎

Horton E H, Murthy S K, Seal R M

Thorax. 1968 Jul;23(4):438-45. doi: 10.1136/thx.23.4.438.

Five cases of haemorrhagic necrosis of the small intestine occurring after valve replacement under cardiopulmonary bypass are described. In one case, in addition to the above, there was an unusual complication, namely acute pancreatitis. The possible causes are discussed. The importance of hypotension before, during, or after bypass, or in the post-operative phase, is stressed.

本文描述了5例在体外循环下进行瓣膜置换术后发生小肠出血性坏死的病例。其中1例除上述情况外，还出现了一种罕见的并发症，即急性胰腺炎。文中讨论了可能的病因。强调了在体外循环前、期间或之后，或在术后阶段出现低血压的重要性。