ДИСФУНКЦИЯ ПЕЧЕНИ У КАРДИОХИРУРГИЧЕСКИХ БОЛЬНЫХ В РАННЕМ ПОСЛЕОПЕРАЦИОННОМ ПЕРИОДЕ

• Main Authors: О. В. Соколова (Author), В. П. Тюрин (Author)
• Format: Book
• Published: SINAPS LLC, 2014-02-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2226-6704; 2411-6564; 10.20514/2226-6704-2014-0-1-50-54
• Keywords: hepatitis; postoperative term; liver dysfunction; heart surgery; Internal medicine; RC31-1245
• Source: Архивъ внутренней медицины, Vol 0, Iss 1, Pp 50-54 (2014)

We investigate the frequency and reasons of liver dysfunction in the early postoperative period at patients after heart surgery. The liver dysfunction occurred at 120 from 663 (18%) operated patients in the early postoperative period. We revealed a distinct connection between a type of a surgery performed and liver dysfunction, which more frequently followed multivalve procedures and combined operative treatment like valve reconstruction and myocardial revascularization. Amongst causes, which contribute liver dysfunction we sorted 5 main ones: prolonged hypoxia in preoperative term, trauma due to surgery and intraoperative hypoxia, toxic medications, reactivation of a viral hepatitis, sepsis. A term, when liver dysfunction advances, depends on these causes.