Research progress on gastrointestinal hemorrhage after cardiac surgery
10.7507/1007-4848.201805069
- VernacularTitle:心脏手术术后消化道出血的研究进展
- Author:
ZENG Ling
1
;
LIAO Yao
2
;
QIAN Yongjun
3
Author Information
1. Department of Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
2. Department of Cardiovascular Surgery, Jingzhou Central Hospital, Jingzhou, 434000, Hubei, P.R.China
3. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
- Publication Type:Journal Article
- Keywords:
Cardiac surgery;
gastrointestinal hemorrhage;
research progress
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(1):97-100
- CountryChina
- Language:Chinese
-
Abstract:
Although the incidence of gastrointestinal hemorrhage after cardiac surgery is low, the mortality rate is high. Early detection and diagnosis of gastrointestinal hemorrhage are difficult. The high risk phases including preoperation, intraoperation and postoperation. Preoperative high risk comorbidities include gastrointestinal ulcer, hypertension, coronary heart disease and chronic renal failure. Intraoperative high risk factors include decreased gastrointestinal blood perfusion due to cardiopulmonary bypass, inflammatory factors releasing, coagulation disorders, and thrombosis. Postoperative high risk factors include hypotension, low cardiac output, prolonged mechanical ventilation, etc. This article retrospectively summarized high-risk factors and pathogenesis of gastrointestinal hemorrhage after cardiac surgery, in order to improve prevention and treatment of gastrointestinal hemorrhage.
