摘要
目的探讨老年根治性全胃切除术后并发症的危险因素与防治对策。方法回顾性分析我院近期收治的行根治性全胃切除术的老年患者临床资料,进行单因素及多因素分析,并提出防治对策。结果单因素分析显示,年龄、白细胞计数、白蛋白水平、肿瘤直径、手术时间、术中失血量、经胸腹联合手术、联合脏器切除手术、存在合并症、心血管疾病、慢性阻塞性肺病、肝硬化、糖尿病、输血、体重下降>10%及营养不良与根治性全胃切术后并发症明显相关。而多因素分析显示,经胸腹联合手术、联合脏器切除手术、合并症、术中出血量是老年根治性全胃切除术后并发症的危险因素,白蛋白水平和输血是老年根治性全胃切除术后并发症的保护因素。结论老年根治性全胃切除术后并发症与多种因素有关,临床上应注意针对性防治。
Objective To study the old radical gastrectomy complications after all the risk factors and countermeasures of prevention and control. Methods Retrospective analysis of recent patients underwent radical gastrectomy all elderly patients with clinical data, carries on the single factor and multiple factors analysis, and put forward the countermea- sures of prevention and control. Results The single factor analysis showed that age, white blood cell count, albumin level, tumor diameter, operation time, intraoperative blood loss, the thoraco-omphalopagus joint surgery, multi-visceral resection surgery, exist complications, cardiovascular disease, chronic obstructive pulmonary disease, liver cirrhosis, diabetes, blood transfusion, weight loss 〉 10% and malnutrition and radical full stomach cut the postoperative compli- cations obviously relevant. And many factor analysis showed that the belly, combined surgery of multi-visceral resec- tion surgery, complications, during the operation, the amount of bleeding is a frequent complication after radical gastrectomy all the risk factors, albumin levels and blood transfusion was old radical gastrectomy complications after all the protection factors. Conclusion The elderly all after radical gastrectomy complications related with many factors, clinical should pay attention tO the prevention and control of pertinence.
出处
《中国现代医生》
2013年第12期54-56,共3页
China Modern Doctor
基金
浙江省建德市医学发展科研基金项目(2010JDY182)
