急性梗阻性化脓性胆管炎患者行经皮肝穿刺胆道引流术后死亡的相关因素  

Death related factors after percutaneous transhepatic biliary drainage in patients with acute obstructive suppurative cholangitis

作　　者：孙建堂 Sun Jiantang(Shanghai Yangsi hospital,Shanghai,200126,China)

机构地区：[1]上海杨思医院,上海200126

出　　处：《当代医学》2019年第15期109-111,共3页Contemporary Medicine

摘　　要：目的探讨急性梗阻性化脓性胆管炎患者行经皮肝穿刺胆道引流术后死亡的相关因素。方法选取本院2010年10月至2017年10月急性梗阻性化脓性胆管炎患者198例,均行经皮肝穿刺胆道引流术治疗,根据预后分为两组,术后存活患者175例为存活组,术后死亡患者23例为死亡组,分析急性梗阻性化脓性胆管炎患者行经皮肝穿刺胆道引流术后死亡的相关因素。结果急性梗阻性化脓性胆管炎患者行经皮肝穿刺胆道引流术后的死亡风险为11.6%。死亡组患者年龄、白细胞计数、有合并症患者所占比例、有肾损害患者所占比例高于存活组(P<0.05)。死亡组患者手术时间长于存活组(P<0.05)。死亡组患者术后24 h胆汁引流量少于存活组(P<0.05)。死亡组患者血清白蛋白低于存活组(P<0.05)。结论年龄、术后24 h胆汁引流量、血清白蛋白、手术时间、合并症、白细胞计数、肾损害均是急性梗阻性化脓性胆管炎患者行经皮肝穿刺胆道引流术后死亡的影响因素。Objective To investigate death related factors after percutaneous transhepatic biliary drainage in patients with acute obstructive suppurative cholangitis.Methods 198 patients with acute obstructive suppurative cholangitis were selected in hospital from October 2010 to October 2017,who treated percutaneous transhepatic biliary drainage.Patients were divided into two groups according to prognosis.175 patients survived after operation as survival group.23 patients died after operation as death group.Death related factors after percutaneous transhepatic biliary drainage in patients with acute obstructive suppurative cholangitis were analyzed.Results The death risk after percutaneous transhepatic biliary drainage in patients with acute obstructive suppurative cholangitis was 11.6%.Age,white blood cell count,proportion of patients with complications,proportion of patients with renal impairment in death group were higher than survival group (P<0.05).Operative time in death group was longer than survival group (P<0.05).Postoperative 24 h bile drainage volume in death group was less than survival group (P<0.05).Serum albumin in death group was lower than survival group (P<0.05).Conclusion Age,postoperative 24 h bile drainage,serum albumin,operation time,complications,white blood cell count,renal damage are influencing factors of death after percutaneous transhepatic biliary drainage in patients with acute obstructive suppurative cholangitis.

关 键 词：急性梗阻性化脓性胆管炎 经皮肝穿刺胆道引流术 相关因素 

分 类 号：R657.4[医药卫生—外科学]