肝癌破裂患者院内转运风险的相关因素分析  

Analysis of Risk Factors for In-Hospital Transfer in Patients with Ruptured Liver Cancer

作　　者：庄志祥 蔡惠丽 郑煌丽 ZHUANG Zhixiang;CAI Huili;ZHENG Huangli(Zhangzhou Fourth Hospital Surgery,Zhangzhou 363112 China;Zhangzhou Fourth Hospital Department of Brain Neuroregulation Diagnosis and Treatment,Zhangzhou 363112 China;Zhangzhou Fourth Hospital Nursing Department,Zhangzhou 363112 China)

机构地区：[1]漳州市第四医院外科,福建漳州363112 [2]漳州市第四医院脑神经调控诊断与治疗科,福建漳州363112 [3]漳州市第四医院护理部,福建漳州363112

出　　处：《中华灾害救援医学》2025年第1期82-85,共4页Chinese Journal of Disaster Medicine

摘　　要：目的 探究肝癌破裂患者院内转运的风险因素,为优化转运流程、降低转运风险提供科学依据。方法 选取2014年1月至2024年1月漳州市第四医院收治的80例肝癌破裂急救患者作为研究对象,根据患者转运期间病情变化分为稳定组(n=53)与进展组(n=27),比较两组年龄、性别、基础疾病、破裂表现及急救处理措施等相关资料,多因素Logistic回归分析肝癌破裂急救患者院内转运风险的影响因素。结果 稳定组与进展组年龄、肿瘤直径、合并肝硬化、失血量、液体复苏、血管活性药物使用情况、转运时间比较差异有统计学意义(P<0.05);多因素Logistic回归分析显示,年龄≥60岁、肿瘤直径≥5cm、合并肝硬化、失血量>1000ml、使用血管活性药物、转运时间≥30min是肝癌破裂急救患者院内转运风险的独立影响因素(P<0.05)。结论 肝癌破裂急救患者院内转运与患者高龄、肿瘤直径大、失血量多等多种因素有关,应加强对患者的风险评估与早期预防,降低转运风险,增强患者预后。Objective To explore the risk factors associated with in-hospital transfer of patients with ruptured liver cancer,providing scientific evidence for optimizing the transfer process and reducing associated risks.Methods A total of 80 patients with ruptured liver cancer who received emergency treatment at Zhangzhou Fourth Hospital from January 2014 to January 2024 were selected for this study.Based on the changes in their condition during transport,the patients were divided into two groups:the stable group(n=53)and the progression group(n=27).The study compared relevant data between the two groups,including age,sex,underlying diseases,rupture manifestations,and emergency treatment measures.Furthermore,a multivariate logistic regression analysis was conducted to identify the factors influencing the in-hospital transport risk of patients with ruptured liver cancer.Results Significant differences were observed between the stable and progression groups in terms of age,tumor diameter,presence of cirrhosis,blood loss,fluid resuscitation,use of vasopressor medications,and transfer time(P<0.05).Multivariate logistic regression analysis revealed that age≥60 years,tumor diameter≥5 cm,presence of cirrhosis,blood loss>1000 ml,use of vasopressors,and transfer time≥30 minutes were independent risk factors for in-hospital transfer in emergency patients with ruptured liver cancer(P<0.05).Conclusion In-hospital transfer of emergency patients with ruptured liver cancer is associated with multiple factors,including advanced age,large tumor size,significant blood loss,and prolonged transfer time.Risk assessment and early preventive measures should be strengthened to reduce transfer risks and improve patient prognosis.

关 键 词：癌 肝细胞 急救 院内转运 

分 类 号：R459.7[医药卫生—急诊医学]