147例胃癌患者术后转入ICU治疗原因及预后分析  

Analysis of Reason and Prognosis for 147 Cases with Gastric Cancer Transferred to ICU After Operation

作　　者：范立侨[1] 李勇[1] 张浩[1] 赵群[1] 檀碧波[1] 焦志凯[1] 王冬[1] 贾楠[1] 

机构地区：[1]河北医科大学第四医院,河北石家庄050011

出　　处：《肿瘤学杂志》2015年第5期369-372,共4页Journal of Chinese Oncology

基　　金：国家自然科学基金(81072033;81372580);河北省自然科学基金(C2010000619);河北省普通高校强势特色学科资助项目(冀教高[2005]52);河北省科技支撑项目(14277779D);河北省卫生厅河北省卫生厅重大医学科研课题(zd2013040)

摘　　要：[目的]分析胃癌术后转入ICU治疗的相关因素,为更好地减少围手术期严重并发症、促进患者恢复提供依据。[方法]对147例胃癌术后进入重症监护病房(ICU)治疗者进行回顾性分析。记录一般资料、进入ICU目的及治疗效果等资料,分析影响患者进入ICU的影响因素。[结果]性别、年龄、合并症、术前贫血、术前低蛋白血症、手术方式、联合脏器切除、术中出血、二次手术、术后并发症等因素对进入ICU有影响(P<0.05)。[结论]多种危险因素对患者出现严重并发症进入ICU有影响,术前应认真考虑这些因素并进行针对性处理,减少严重并发症发生。[ Purpose ] To investigate the related factors for patients with gastric cancer transferred to ICU after operation,and to provide evidences for better treatment and recovery and reduction of severe complications of patients. [Methods] Data of 147 cases of postoperative gastric cancer patients transferred to the ICU were analyzed. The general data,the purpose of transferring to ICU and the treatment effect etc. were recorded. The influence factors that were related with ICU transferring were analyzed. [Results] Gender,age,concomitant diseases,preoperative anemia, preoperative hypoalbuminemia,operation method, combined multiple organs resection,intraopera- tive bleeding,unplanned reoperation and postoperative complications were the factors influencing the postoperative patients transferred to ICU. [Conclusionl Multiple factors are related to ICU transferring after operation, and these factors should be considered and treated preoperation to re- duce severe postoperative complications.

关 键 词：胃肿瘤 重症监护病房 并发症 外科手术 

分 类 号：R735.2[医药卫生—肿瘤]