Pinson C W, Alberty R E
Am J Surg. 1983 Jul;146(1):133-7. doi: 10.1016/0002-9610(83)90273-8.
In a single institution, 142 general surgical complications were found in a total of 82 patients after 5,682 cardiac procedures. There were 54 complications in 40 patients within 6 weeks of surgery and 88 complications more than 6 weeks after surgery. There were 12 deaths in the early group and one death in the late group. The incidence of these general surgical complications was low in both the early and late groups (0.9 percent and 1.6 percent, respectively). The mortality rate of general surgical complication within the early group was 23 percent. After 6 weeks the mortality rate was less than 2 percent. Mortality was higher following valve procedures than following coronary artery bypass operations in the early period. Anticoagulation and arrhythmias were both minimal management problems after general surgical operations. The anatomic area most frequently involved was the biliary tract. Documented low cardiac output preceded many of these complications in the early group.
在一家机构中，5682例心脏手术后，共82例患者出现了142例普通外科并发症。40例患者在术后6周内出现54例并发症，术后6周以上出现88例并发症。早期组有12例死亡，晚期组有1例死亡。这些普通外科并发症的发生率在早期组和晚期组均较低（分别为0.9%和1.6%）。早期组普通外科并发症的死亡率为23%。6周后死亡率低于2%。早期瓣膜手术的死亡率高于冠状动脉搭桥手术。普通外科手术后，抗凝和心律失常都是最小的管理问题。最常受累的解剖区域是胆道。早期组许多这些并发症之前都有记录的低心输出量。
