摘要
目的:探讨体外循环心脏手术后出血原因,提出预防及处理方法。方法:对我院1988年5月至2005年10月450例体外循环心脏手术术后大量出血27例需再次开胸止血病历进行分析,探讨原因,总结教训。结果:同期450例体循心脏手术,术后因大量出血再次开胸止血27例,占6%,其近期死亡6例,死亡率为22.2%。结论:体外循环下心脏术后出血是严重并发症之一,死亡率高,正确掌握再次开胸止血手术时机至关重要。
Objective:To study the cause of post-cardiac surgical bleeding under ertracorporeal circulation. Methods:Among 450 patients who underwent ertracorporeal circulation cardiac surgery from may 1988 to October 2005 in our hospital,27 cases of severe bleeding after operation who needed re-thoracotomy for hemostasis were analyzed.Results:450 cases of extracorporeal circulation cardiac surgery,27 patients(6%)performed re-thoratomy,6 patients died post-operatively with a mortality of 22.2% Conclusion:Extracorporeal circulation postoperative hemorrhage was a severe complication with high mortality,active prevention,timely treatment and re-thoratomy exploration was important.
出处
《泸州医学院学报》
2007年第2期122-123,共2页
Journal of Luzhou Medical College
关键词
体外循环
心脏手术
再次开胸止血
Extracorporeal circulation
Cardiac surgery
Re-thoratomy for hemaostsis