目的 研究心脏外科术后严重出血对术后早期结果的影响.方法 回顾性分析2007年7月～2007年12月成人体外循环下心血管外科手术严重出血的全部病例223例,并将其设为观察组,另选择同期成人体外循环下心血管外科手术非严重出血患者223例为对照组.对比分析严重出血对术后早期死亡率及心、脑、肾、肺等重大并发症的影响,及其对住院时间和住院费用的影响.结果两组患者住院死亡共12例,观察组死亡率(4.93%,11例)明显高于对照组死亡率(0.45%,1例),差异有高度统计学意义(P = 0);低心排发生率、脑部并发症、肾功能衰竭及肺部并发症均明显高于对照组.严重出血组较对照组住院时间、ICU停留时间、呼吸机使用时间、住院费用均明显增加.结论 心脏外科术后严重出血会显著增加围术期死亡率及并发症发生率,增加住院时间及住院费用.%Objective To study the serious bleeding heart surgery on the influence of the early postoperative results. Methods 223 cases of adult extracorporeal circulation cardiovascular surgery under serious bleeding from July 2007 to December 2007 were retrospectively analyzed and set them as the observation group, 223 cases of serious bleeding under the same period adult extracorporeal circulation of cardiovascular surgery were chosen as the control group. Serious bleeding early postoperative mortality and heart, brain, kidney, lung and other major complications of impact, and length of hospital stay, and the influence of the hospital expenses were comparative analyzed. Results A total of 12 cases of patients died in hospital in two groups, with the observation group of 11 cases (4.93%), which were significantly higher than those in the control group of 1 case (0.45%), the difference was statistically significant (P = 0). Low incidence of heart valve, brain complications, renal failure and pulmonary complications were significantly higher than those in the control group. A control group of serious bleeding time in hospital ICU stay time, breathing machine use time, hospital costs increased obviously. Conclusion Serious bleeding heart surgery can significantly increase perioperative mortality and complications, the length of time and fee in hospital.
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