上消化道穿孔急诊手术患者术后肺部感染的危险因素分析  

Analysis of risk factors for postoperative pulmonary infection in patients undergoing emergency surgery for upper gastrointestinal perforation

作　　者：阮海刚[1] 王成兴 Ruan Haigang;Wang Chengxing(Emergency Department of Jiangmen Central Hospital,Guangdong Jiangmen 529000,China;Gastrointestinal Surgery Department of Jiangmen Central Hospital,Guangdong Jiangmen 529000,China)

机构地区：[1]江门市中心医院急诊科,广东江门529000 [2]江门市中心医院胃肠外科,广东江门529000

出　　处：《临床普外科电子杂志》2025年第1期11-15,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨上消化道穿孔急诊手术患者术后肺部感染的危险因素。方法以江门市中心医院2015年10月至2023年10月确诊上消化道穿孔并行急诊手术的350例患者为研究对象,根据是否出现术后肺部感染分成感染组(280例)和非感染组(70例),应用单因素和多因素Logistic回归分析分析肺部感染的危险因素。结果单因素分析显示,感染组吸烟(P<0.001)、高血压(P=0.008)、术前胃管植入(P<0.001)、休克(P<0.001)、糖尿病(P<0.001)、穿孔原因(P=0.004)的占比均高于非感染组。多因素Logistic回归分析结果显示,吸烟、高血压是上消化穿孔术后肺部感染的独立危险因素(P<0.05)。结论吸烟和高血压是上消化道穿孔急诊手术术后发生肺部感染的危险因素。Objective To investigate the risk factors for pulmonary infection following emergency surgery for upper gastrointestinal perforation.Method A total of 350 patients diagnosed with upper gastrointestinal per-foration who underwent emergency surgery at our hospital were analyzed.Based on the presence of postoperative pulmonary infection,the patients were divided into an infection group and a non-infection group.Univariate and multivariate logistic regression analyses were conducted to identify the risk factors for pulmonary infection.Result Univariate analysis revealed that the infection group had a higher proportion of patients with a history of smoking(P<0.001),hypertension(P=0.008),preoperative gastric tube placement(P<0.001),shock(P<0.001),dia-betes(P<0.001),and reason for perforation(P=0.004)compared to the non-infection group.Multivariate logistic regression analysis indicated that a history of smoking and hypertension are independent risk factors for pulmonary infection following surgery for upper gastrointestinal perforation(P<0.05).Conclusion A history of smoking and hypertension are signifi cant risk factors for the occurrence of pulmonary infection after emergency surgery for up-per gastrointestinal perforation.

关 键 词：上消化道穿孔 急诊手术 肺部感染 危险因素 

分 类 号：R563.1[医药卫生—呼吸系统] R656[医药卫生—内科学]