卵巢癌缩瘤术后ICU监护指征分析

为探讨卵巢癌缩癌术后入住重症监护病房（ＩＣＵ）监护的指征,将２４例卵巢癌缩癌术后入ＩＣＵ监护的患者按监护时间≤４８ｈ及〉４８ｈ分为Ａ组（１３例）及Ｂ组（１１例）,对术前５个变量（年龄,美国麻醉学会（ＡＳＡ）评分,体重,白蛋白水平及初次或再次手术）及术中４个变量（失血量,腹水量,手术时间,有否肠切除等）进行了比较,并对这些变量与监护时间进行了单因素直线相关分析。结果：Ａ,Ｂ两组术前５个变量均无显著性

An Analysis on Indications of Intensive Care Unit Care After Cytoreductive Surgery for Ovarian Cancer

To study the indications of intensive care unit(ICU) care after cytoreductive surgery for ovarian cancer.A retrospective analysis was made in 24 patients admitted to the ICU from Jan.1,1995 to Sept.30,1999. Thirteen patients cared in the ICU for ≤48 hours(group A)were compared with 11 patients cared for >48 hours(group B).Five preoperative characteristics(age,American Society of Anaesthesiology (ASA)classification,body weight,albumin,primary versus recurrent disease) and four perioperative characteristics(estimated blood loss,ascites,surgical time,bowel resection) were compared between the two groups by univariate analysis.ResultsAll preoperative variables were similar between the two groups (P>0.05,respectively).There was not a significant difference between the two groups in perioperative variables(P>0.05,respectively) but the bowelresection(P<0.05).ASA classifications,albumin levels and estimated blood loss were significant in the univariate analysis(P<0.05,respectively).ConclusionThe patients with high ASA classification,low albumin levels,a large guantity of blood loss and undergone bowel resection will most likely benefit from ICU care.