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616.36-003.8+616.12-008.318-089-053.1/.2 (1) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1698) |
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (975) |
SM ISO690:2012 BOTEZATU, Alexandru, COJOCARU, Victor, COJOCARU, Doriana, URSUL, Sergiu. Disfuncţia hepatică la pacienţii cu tetralogia Fallot supuși corecţiei chirurgicale. In: Sănătate Publică, Economie şi Management în Medicină , 2016, nr. 4(68), pp. 38-42. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | |||||
Numărul 4(68) / 2016 / ISSN 1729-8687 /ISSNe 2587-3873 | |||||
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CZU: 616.36-003.8+616.12-008.318-089-053.1/.2 | |||||
Pag. 38-42 | |||||
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A reduction in liver function is common after cardiac operations, particularly in children with preexisting cardiac failure. The etiology is multifactorial, but the redistribution of organ blood flow that occurs during cardiopulmonary bypass implicates ischemia as one of the principal causes of injury. Tetralogy of Fallot is the most common cyanotic congenital heart disease, with an incidence of three per 10,000 live births, and represents about 5-7% of all congenital heart disease [4]. Objective: incidence of development, identifying trigger factors and characteristic of hepatic dysfunction in patients undergoing surgical correction of TF in conditions of extracorporeal circulation. Subjects and methods. Retrospectively we reviewed all patients who have undergone surgical correction TOF at our institution from June 2010 to December 2015. Were analyzed demographic and morphological data during preoperative, intraoperative and postoperative periods. Liver dysfunction criteria were considered total bilirubinemia level ≥ 25 micromol/L, prothrombin index ≤80% and ALT levels ≥ 40 IU/l. Results. During the study were subjected to surgical correction 45 patients diagnosed with TOF. The average age of the group was 38.2±5.3 months, average weight 13.4±1.7 kg. The duration of extracorporeal circulation was 142.6±13.02 minutes. Hypoprothrombinemia was detected in 41 (91.1%), hyperbilirubinemia 21 (46.6%) and transaminasemia 24 (53.3%) patients. Conclusion: hepatic dysfunction is frequently encountered in patients undergoing extracorporeal circulation, the main factors are increased during surgery, ino-vasotrop support in the perioperative period. |
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Cuvinte-cheie hepatic dysfunction, pediatric cardiac surgery, tetralogy of Fallot, extracorporeal circulation |
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