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Chinese Archives of General Surgery(Electronic Edition) ›› 2009, Vol. 03 ›› Issue (05): 41-43. doi: 10.3877/cma.j.issn.1674-0793.2009.05.013

• Original Articles • Previous Articles     Next Articles

Clinical analysis of gastrointestinal bleeding after cardiovascular surgery

Guang-xian CHEN1, Ying ZHENG1, Mai XIONG1, Bai-yun TANG1,(), Zhong-kai WU1   

  1. 1.Department of Cardiac Surgery, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
  • Received:2009-04-24 Online:2009-10-01 Published:2024-12-01
  • Contact: Bai-yun TANG

Abstract:

Objective

To analyze the clinical characteristics of gastrointestinal bleeding abdominal complications after cardiovascular surgery.

Methods

The clinical data of 1735 consecutive cases undergoing cardiovascular surgery from Jan.2003 to Dec.2007 were retrospectively reviewed.The risk factors,clinical features,diagnostic methods and prognosis of gastrointestinal bleeding were summarized.

Results

The incidence of gastrointestinal bleeding was 0.75%(13 patients).Among them the bleeding of 7 patients were controlled undergoing medicine treatment,2 patients underwent with fiberoptic gastroscope,1 patients accepted celiac arteriogram and another accepted surgical interventions,while 2 patients died from violently bleeding.

Conclusions

Gastrointestinal bleeding following cardiovascular surgery were uncommon but had a high mortality. Time of CPB,mechanical ventilation and low cardiac outlet syndrome may be the clinical risk factors of gastrointestinal bleeding.Early diagnosis and prompt treatment are essential for the outcome of the patients.

Key words: Gastrointestinalhemorrhage;Cardiacsurgeryprocedures;Diagnosis;Treatment

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