kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2014-1-75-86kpccz-33Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОРANALYTICAL REVIEWАБДОМИНАЛЬНЫЕ ОСЛОЖНЕНИЯ ПРИ ОПЕРАЦИЯХ НА СЕРДЦЕ С ИСКУССТВЕННЫМ КРОВООБРАЩЕНИЕМABDOMINAL COMPLICATION AFTER CARDIAC SURGICAL PROCEDURES WITH EXTRACORPOREAL CIRCULATIONПлотниковГ. П.PlotnikovG. P.

ведущий научный сотрудник лаборатории критических состояний

Адрес для переписки:650002, г. Кемерово, Сосновый бульвар, д. 6. Тел. +7(3842) 64-33-08

leading researcher of critical conditions laboratory

Correspondence address:6, Sosnoviy blvd., Kemerovo, 650002. Tel. +7 (3842) 64-33-08

Georg@cardio.kem.ruШукевичД. Л.ShukevichD. L.ГригорьевЕ. В.GrigoryevE. V.Федеральное государственное бюджетное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний» Сибирского отделения Российской академии медицинских наук, КемеровоРоссияFederal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases, Siberian Branch of the Russian Academy of Medical Sciences, KemerovoRussian Federation201428062015017586Copyright © Плотников Г.П., Шукевич Д.Л., Григорьев Е.В., 20152015Плотников Г.П., Шукевич Д.Л., Григорьев Е.В.Plotnikov G.P., Shukevich D.L., Grigoryev E.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/33

Абдоминальные катастрофы, возникающие после операций на сердце в условиях искусственного кровообращения, занимают ведущее место в структуре возможных осложнений. Авторы представляют обзор эпидемиологии, факторов риска, предикторов и способов прогнозирования, принципиальных направлений коррекции и профилактики подобных осложнений. Отмечается, что способы ультразвуковой (контраст-индуцированная ультразвуковая диагностика) и лучевой (селективная мезентериальная ангиография) диагностики и варианты модификации экстракорпоральной перфузии и фармакологической защиты желудочно-кишечного тракта могут быть оптимальными для ведения данной категории больных.

Abdominal catastrophe occurring after cardiac surgery with cardiopulmonary bypass, takes the leading place in the structure of possible complications. The authors present a review of the epidemiology, risk factors, and predictors of forecasting, principal directions of correction and prevention of such complications. It is noted that ultrasonic methods (contrast-enhanced ultrasound) and radiological (selective mesenteric angiography) diagnosis, modifications and variations of extracorporeal perfusion and pharmacological protection of the gastrointestinal tract may be optimal for such category of patients.

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The authors declare that there are no conflicts of interest present.