主动脉瓣置换术后腹部出血1例并文献分析

Chinese Journal of Thoracic and Cardiovaescular Surgery Pub Date : 2019-10-25 DOI:10.3760/CMA.J.ISSN.1001-4497.2019.10.012

Bing-xing Tian, Fayu Liang

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引用次数: 0

摘要

心脏外科手术后腹部并发症发生率低，而出现腹腔内出血则非常罕见。1例患者因行体外循环下主动脉瓣置换术，术后血压下降明显(32/21 mmHg)(1 mmHg＝0.133 kPa)，保守治疗效果差。考虑心脏压塞，开胸探查未见出血。随后行腹腔穿刺有不凝血，诊断腹腔出血，剖腹探查见腹腔大量深红色陈旧血，肝脏周围大量凝血块，但未见出血点。推测出血可能与术中下腔静脉插管操作不慎有关。经积极治疗，患者好转出院。提示体外循环心脏外科手术后发生不明原因出血，注意腹腔出血可能，当患者循环不稳定，保守治疗效果差时，应该积极手术干预。

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