非计划二次开胸术后并发症危险因素分析  

Analysis of risk factors of the complications after unplanned re-opened thoracotomy operation

作　　者：卫向阳[1] 孙英民[1] 宋志斌[1] 

机构地区：[1]河南科技大学第一附属医院心脏外科,河南省洛阳市471000

出　　处：《中国心血管病研究》2015年第5期474-476,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的 总结心脏直视术后非计划二次开胸术后并发症的危险因素,为临床心脏直视术提供预警理论依据.方法 总结回顾2011年3月至2014年11月期间施行的心脏外科手术1600例,85例患者行非计划二次开胸手术,其中40例出现纵隔感染、肾功能衰竭、多脏器功能衰竭等并发症,余45例无并发症.分别给患者性别、年龄、体重、首次手术方式、术前诊断、二次开胸时机、术前合并症、恶病质、菌血症赋值,运用Logistic回归分析法,筛选出危险因素.结果 性别、年龄、体重、首次手术方式、二次开胸时机、菌血症为非计划二次开胸术后并发症的危险因素.结论 充分评估危险因素,为临床首次直视心脏手术提供预警,竭力避免非计划再次手术,保证临床治疗效果.Objective To provide a highly early warning theory with analyzing risk factors of the un- planned secondary opened thoracotomy operation. Methods From March 2011 to November 2014, 1600 cases were performed heart surgery, including 85 patients underwent the unplanned secondary thoracotomy, 40 cases complicated mediastinal infection, renal failure, multiple organ failure and other complications and 45 cases with- out complications. They were analyzed by logistic according gender, age, body weight, the first operation method, preoperative diagnosis, re-exploration opportunity, preoperative comorbidities, cachexia, bacteremia, then deter- mine the risk factors of the complications after unplanned secondary thoraeotomy. Results Gender, age, body weight, the first operation method, re-exploration opportunity, bacteremia were the risk factors of the complica- tions after unplanned secondary thoracotomy. Conclusion Assessing the risk factors for cardiac surgery before op- eration can provide early warning, avoid unplanned reoperation and ensure clinical outcomes.

关 键 词：非计划 二次开胸手术 危险因素 

分 类 号：R654.2[医药卫生—外科学]