摘要
目的为探讨梗阻性化脓性胆管炎(AOSC)手术病人高危因素对预后的影响。方法对本院1998年8月～2008年8月手术的AOSC病人238例,采用卡方检验筛选出性别、年龄、白细胞计数等14项危险因素。结果年龄≥60岁,病史≥10年,入院时休克,有合并病,血浆胆红素≥200μmol/L,术前休克未纠正,入院距手术时间≤48h,以及胆汁脓性、胆压高等为高危因素。其中,入院时伴休克、术前休克未纠正和有合并病为有特殊意义的高危因素。结论在梗阻性化脓性胆管炎手术前,若上述高危因素妥当处理可降低其病死率。
【Objective】To explore the high-risk factors for prognosis of obstructive suppurative cholangitis（AOSC） patients.【Methods】From August 1998 to August 2008 238 cases of OSC patients received operations in the hospital.Fourteen risk factors including sex,age,white blood cell count were analyzed by chi-square test.【Results】The study showed that high risk factors were age≥60 years,course of disease≥10 years,shock on admission,complicated diseases of other organs,serum bilirubin200μmol/L,uncontrolled pre-operative shock,the time from admission to surgery≥48 hours,purulent bile and high bile duct pressure.Among the factors three factors,i.e.shock on admission,uncontrolled preoperative shock and complicated diseases of other organs,had special significance..【Conclusion】If the high risk factors can be properly managed before operation,the mortality rate of OSC patients can be reduced
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2010年第2期295-297,共3页
China Journal of Modern Medicine
关键词
梗阻性化脓性胆管炎
胆道手术
高危因素
obstructive suppurative cholangitis（OSC）
bile duct surgery
risk factor
