摘要
目的为了观察胃肠道癌患者围手术期输血与术后感染的关系。方法作者回顾性地分析了２８９例此类患者术后感染的多种因素。结果２８９例中有１０５例进行了围手术期输血，其感染率为３４２８％（３６例）；围手术期未输血的１８４例中，术后感染率为３８０％（７例），两者比较有显著性差异（Ｐ＜０．０５）。术后感染发生随输血量而增大（Ｐ＜０．０１）。结论胃肠道癌肿患者围手术期输血会增加术后感染并发症的发生。故在保证患者能够耐受麻醉，手术治疗及术后恢复顺利的情况下，应尽量不输血或少输血。对确需输血者应采取红细胞成份输血，提高输血质量。
Objective To study the relationship between perioperative transfusion and postoperative infection in the patients with gastrointestinal carcinoma. Methods Various factors of postoperative infection in 289 cases were retrospectively analysed. Results The postoperative infection rate was 34.28% (36 cases) in 105 cases with transfusion perioperatively, and 3.8% (7 cases) in patients without transfusion perisperatively ( P <0.05). The result demonstrated that postoperative infection rate was increased with the amount of transfusion ( P <0.01). Conclusions The perioperative transfusion in the patients with gastrointestinal carcinoma could increase the postoperative infective complications. So, if the patient can safely undergo an operation and the postoperative course is uneventful, transfusion should not be given or given as less as possible. If transfusion is needed for a patient, it is best to give concentrated RBC instead of whole blood.
出处
《中国普通外科杂志》
CAS
CSCD
1999年第1期35-36,共2页
China Journal of General Surgery
关键词
胃肠肿瘤
外科手术
输血
伤口
感染
GASTROINTESTIANL NEOPLASMS/SURGERY POSTOPERATIVE COMPLICATIONS BLOOD TRANSFUSION SURGICAL WOUND INFECTION/ETIOLOGY
