门静脉高压患者脾切除术后不明原因“高热”的相关影响因素分析  

Analysis of the Risk Factors for Unexplained High Fever Following Splenectomy in Patients with Portal Hypertension

作　　者：易成[1] 

机构地区：[1]四川省金堂县第一人民医院,四川成都610400

出　　处：《医学临床研究》2017年第10期1935-1937,共3页Journal of Clinical Research

摘　　要：【目的】探讨门静脉高压（PHT）患者脾切除术后不明原因性“高热”的危险因素。【方法】回顾性分析2012年1月至2015年12月本院收治60例行贲门周围血管离断术联合脾切除术PHT患者的临床资料。以术后不明原因发热时间持续7 d以上且最高体温≥38℃者为观察组（n=26）,其余患者作为对照组（n=34）,根据单因素及多因素分析筛选术后“高热”的相关影响因素。【结果】单因素分析结果显示,两组患者在肝功能分级、总胆红素（TBIL）、术中出血量、术中腹水量比较,差异具有统计学意义（P〈0.05）。经Logistic多因素分析结果显示,肝功能分级、TBIL、术中出血量及术中腹水量为PHT患者脾切除术后出现“高热”的危险因素（P〈0.05）。【结论】术前肝功能分级差、高TBIL水平、术中出血量多及术中腹水量增加是门静脉高压患者脾切除术术后“高热”主要危险因素。【Objective】To explore the risk factors for unexplained high fever following splenectomy in patients with portal hypertension （PHT）.【Methods】The clinical data of 60 patients treated with splenectomy pericardia vascular disconnection in our hospital from January 2012 to December 2015 were retrospectively analyzed. According to the inclusion criteria of postoperative fever, they were divided into the observation group （n=26）, with the duration of unexplained fever over 7d, and the highest temperature no less than 38℃ and the control group （n=34）. Univariate and multivariate analyses were performed to screen the high-risk factors for postoperative unexplained high fever.【Results】The univariate analysis showed that the differences between the two groups in preoperative liver function grade, total bilirubin （TBIL）, intraoperative blood loss and intraoperative ascites were statistically significant （P〈0.05）. Multivariate Logistic analysis showed that the liver function grade, TBIL, intraoperative blood loss and intraoperative ascites were the high-risk factors for unexplained high fever after splenectomy in PHT patients （P〈0.05）.【Conclusion】Preoperative poor liver function grade, high TBIL level, large amount of intraoperative blood loss and increased intraoperative ascites volume are the major risk factors for high fever after splenectomy in patients with portal hypertension.

关 键 词：高血压 门静脉 脾切除术 发热 危险因素 

分 类 号：R657.34[医药卫生—外科学]