https://scholars.lib.ntu.edu.tw/handle/123456789/192007
標題: | Cardiac Surgery in Patients with Liver Cirrhosis | 作者: | LIN, CHENG-HSIN LIN, FANG-YUE WANG, SHOEI-SHEN |
公開日期: | 2005 | 卷: | v.79 | 期: | n.5 | 起(迄)頁: | 1551-1554 | 來源出版物: | THE ANNALS OF THORACIC SURGERY | 摘要: | Background Cardiac surgery was infrequently performed in patients with liver cirrhosis, and its clinical outcome has been reported only in small series. We sought to evaluate the clinical outcome of cardiac operation in patients with noncardiac liver cirrhosis. Methods Data were collected by a retrospective case note review. The preoperative, intraoperative, and postoperative variables were recorded. The severity of liver cirrhosis was graded using the Child- Pugh classification. Results Between January 1993 and May 2004, 18 patients with liver cirrhosis underwent cardiac surgery at the authors' hospital. Thirteen patients had hepatitis virus infection, and 5 cases were alcohol related. Thirteen patients were classified as Child A cirrhosis, 4 were class B, and 1 was class C. Sixteen patients underwent cardiac surgery with the use of cardiopulmonary bypass, and 2 patients underwent off-pump coronary artery bypass surgery . The overall in-hospital mortality rate was 6% (1 of 18), and there was no death in 5 class B and C cirrhotic patients . The rate of major complication was 39% in class A and 80% in class B and C. Conclusions Although the postoperative complication was common, cardiac operation could be performed safely in patients with mild and advanced liver cirrhosis. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/91699 |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。