摘要
总结体外循环 (CPB)心血管手术后败血症的防治经验。方法 回顾 1996年 5月至19 99年 5月施行 1132例CPB心血管手术 ,术后发生败血症 9例 ,均根据药敏试验结果静脉滴注敏感抗生素 ,同时治疗其它并发症 ,其中 2例合并心内膜炎者再次手术。结果 本组 6例治愈 ,3例死亡 ,病死率 33 3 %。结论 术前病情重、CPB时间长、环境污染、长时间机械通气等是发生败血症的高危因素 ;有效的预防。
Objective: To summarize the experience of prevention and treatment of septicemia after cardiopulmonary bypass (CPB). Method: The data of 1132 cases of open-heart surgery were retrospective studied. Septicemia occurred in 9 patients after operation. Sensitive antibiotics were administrated intravenously according to the bacteria culture. Other complications were treated at the same time. Reoperations were performed in 2 cases with endocarditis and tricuspid vegetation. Results: There were 3 deaths with a mortality rate of 33.3%. The causes of death were multiple organ dysfunction and cerebral bacterial embolism, respectively. Six patients recovered after treatment. Conclusions: The risk factors of septicemia are critical condition before operation, long duration of CPB, environment contamination and prolonged mechanical ventilation. Effective prevention, administration of sensitive antibiotics and surgical intervention if necessary are treatments of choice.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2000年第3期141-143,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
