摘要
目的探讨A型主动脉夹层术后并发消化道出血的相关危险因素。方法回顾性分析46例A型主动脉夹层手术患者的临床资料,根据术后有无消化道出血进行分组,对术后消化道出血的相关危险因素进行多因素Logistic回归分析。结果多因素Logistic回归分析显示,机械通气时间>5 d、合并急性肾功能不全、合并低血小板血症以及体外循环时间>150 min是A型主动脉夹层术后并发消化道出血的高危因素。结论 A型主动脉夹层术后并发消化道出血与机械通气时间长、合并低血小板血症、合并急性肾功能不全以及体外循环时间长有关,应给予高度关注,评估术后消化道出血风险,加强早期预防。
Objective To explore the risk factors of gastrointestinal bleeding after type A aortic dissection surgery.Methods The clinical data of 46 patients with type A aortic dissection surgery were analyzed retrospectively and grouped according to postoperative gastrointestinal bleeding or not.The risk factors of postoperative gastrointestinal bleeding were analyzed by multivariate Logistic regression.Results Multivariate Logistic regression analysis showed that mechanical ventilation time>5 d,complicated with acute renal insufficiency,complicated with thrombocytopenia and cardiopulmonary bypass time>150 min were the high risk factors of gastrointestinal bleeding after type A aortic dissection surgery.Conclusions Gastrointestinal bleeding after type A aortic dissection surgery are related to the long time of mechanical ventilation,complication of hypothrombocytopenia,complication of acute renal insufficiency and long time of cardiopulmonary bypass.High attention should be paid to evaluate the risk of postoperative gastrointestinal bleeding and strengthen early prevention.
作者
邓丽萍
刘欢
DENG Liping;LIU Huan(Intensive Care Unit,the Second Affiliated Hospital of Nanhua University,Hengyang 421000,China;Department of Cardiology,Nanhua Hospital Affiliated to Nanhua University,Hengyang 421001,China)
出处
《临床医学工程》
2020年第8期1123-1124,共2页
Clinical Medicine & Engineering
基金
衡阳市科学发展计划项目(项目编号:2013KS41)。
关键词
A型主动脉夹层手术
消化道出血
危险因素
Type A aortic dissection surgery
Gastrointestinal bleeding
Risk factors
