肝血管瘤切除术后常见并发症及其相关危险因素  

Complications and Related Risk Factors for Patients with Hepatic Hemangioma Resection

作　　者：曹梅利[1] 李丽[1] 费国雄[1] 

机构地区：[1]第二军医大学东方肝胆外科医院麻醉科监护室,上海200438

出　　处：《解放军护理杂志》2013年第21期9-12,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的了解肝血管瘤切除术后患者并发症的发生情况,并探讨其相关危险因素。方法回顾性分析2005-2010年在东方肝胆外科医院行肝血管瘤切除术治疗的946例患者的资料,统计患者年龄、性别、既往病史、术前及术后实验室检查资料(表面抗原、血小板、白细胞)、手术信息(肝切除史、肝切除量、失血量、输血情况)、ICU时间、住院时间、住院期间并发症等资料,采用Logistic回归方法找寻导致术后并发症发生的相关因素。结果术后有63例患者发生并发症,并发症发生率为6.7%。其中术后肝功能恢复延迟57例,发生率为6.0%。肝功能恢复延迟的独立危险因素为术后血小板计数<100×109/L(OR=3.014,P=0.018)、术中输血(OR=3.067,P<0.001)。结论肝血管瘤切除术后患者主要并发症为肝功能恢复延迟,危险因素为术中输血和术后血小板偏低。Objective To explore the complications and related risk factors for patients with hepatic he- mangioma resection. Methods Data of 946 patients with hepatic hemangioma from 2005 to 2010 were ret- rospectively analyzed. Age, sexuality, medical history, laboratory examination before and after operation （HBsAg,platelets count, white blood cells count）, operation information （history of liver resection, the liver resection volume, blood loss, blood transfusion amount）, ICU time, hospitalization time, complications were summarized. Using logistic regression methods to find the related factors of postoperative complica- tions. Results Complications occurred in 63 patients and the incidence was 6.7%. The delay of recovery of liver function occurred in 57 cases,the incidence was 6.0%. The independent risk factor of delay of recover- y of liver function were postoperative blood platelet count 〈100 × 10^9 （OR= 3. 014, P：0. 018）, blood transfusion during operation （OR= 3. 067, P〈0. 001）. Conclusion Main complications after resection of liver hemangioma is delay liver function recovery. Intraoperative blood transfusion and postoperative low platelets count are the major related risk factors.

关 键 词：肝血管瘤 手术 并发症 

分 类 号：R472.3[医药卫生—护理学]