CAJ | 학술논문

目的探讨心外科术后高胆红素血症的发生率，分析其发生的相关影响因素及其对预后的临床意义。方法摇回顾性分析2013年7月至2014年1月收治的心脏外科手术患者504例，定义术后5天内出现总胆红素≥34.2μmol/ L为高胆红素血症，由此将患者分为A、B 两组，对比两组术前、术中及术后临床资料并分析其差异。结果术后504例患者中160例发生高胆红素血症，占31.7%。高胆红素血症与术中体外循环时间、术中输血量、术后感染、术后二次开胸、术后呼吸机使用时间、重症监护(ICU)时间、连续肾脏替代治疗(CRRT)使用率、主动脉内球囊反搏术(IABP)使用率均有相关性。结论心脏外科术后高胆红素血症的发生受多种因素影响，并与预后具有相关性。
목적탐토심외과술후고담홍소혈증적발생솔，분석기발생적상관영향인소급기대예후적림상의의。방법요회고성분석2013년7월지2014년1월수치적심장외과수술환자504례，정의술후5천내출현총담홍소≥34.2μmol/ L위고담홍소혈증，유차장환자분위A、B 량조，대비량조술전、술중급술후림상자료병분석기차이。결과술후504례환자중160례발생고담홍소혈증，점31.7%。고담홍소혈증여술중체외순배시간、술중수혈량、술후감염、술후이차개흉、술후호흡궤사용시간、중증감호(ICU)시간、련속신장체대치료(CRRT)사용솔、주동맥내구낭반박술(IABP)사용솔균유상관성。결론심장외과술후고담홍소혈증적발생수다충인소영향，병여예후구유상관성。
Objective This paper surveys the incidence of hyperbilirubinemia after cardiac surgery, analysis of risk factors associated with its occurrence and its clinical significance in prognosis. Method A retrospective analysis of 504 cases of cardiac surgery patients in 2013 July to 2014 January:the definition of TBIL greater than 34. 2μmol/L of hyperbilirubinemia in postoperative 5 days, which were divided into A, B two groups, comparing the two groups preoperative, intraoperative and postoperative clinical data and analyze their differences. Result 160 cases of 504 postoperative patients occurred with hyperbilirubinemia, accounting for 31. 7%. Hyperbilirubinemia relates with in-traoperative cardiopulmonary bypass time, intraoperative transfusion volume, postoperative infection, postoperative reoperation, postoperative ventilator time, ICU time, CRRT usage, IABP usage. Conclusion Cardiac surgery hy-perbilirubinemia occurs affected by many factors, and correlated with the prognosis.