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术后腹腔感染病人的预后估计(附193例分析)
引用本文:金中强,吴肇光. 术后腹腔感染病人的预后估计(附193例分析)[J]. 中国实用外科杂志, 1997, 0(7)
作者姓名:金中强  吴肇光
作者单位:上海医科大学附属中山医院外科
摘    要:
以上海中山医院近10年资料较完整的193例术后腹腔感染者为研究对象,对31项常用临床观察指标,用Logistic多因素回归分析方法筛选出消化道出血、年龄、尿素氮、动脉血氧分压和血培养5项为危险因素,与感染后死亡有关。相应的回归模型预测感染后死亡的敏感性、特异性和准确性分别为85.7%、82.7%和85%。

关 键 词:术后腹腔感染  危险因素  预后

Prognosis of postoperative intraabdominal sepsis.
Jin Zhongqiang,Wu Zhaoguang.Dept.of Surgery,Zhongshan Hospital,Shanghai Medical University,Shanghai. Prognosis of postoperative intraabdominal sepsis.[J]. Chinese Journal of Practical Surgery, 1997, 0(7)
Authors:Jin Zhongqiang  Wu Zhaoguang.Dept.of Surgery  Zhongshan Hospital  Shanghai Medical University  Shanghai
Affiliation:Jin Zhongqiang,Wu Zhaoguang.Dept.of Surgery,Zhongshan Hospital,Shanghai Medical University,Shanghai 200032
Abstract:
Postoperative intraabdominal sepsis(PIS)is a critical and potential lethal complication after abdominal operation.The purpose of this study is to investigate prognostic indices and estimating severity of PIS using the clinical epidemiological method.193 cases of PIS entered this study.Of the 31 postoperative variants,gastrointestinal bleeding,age,BUN,PaO 2 and blood culture were significant factors in the prediction of mortality.Sensitivity,specificity and accuracy of the logistic model for prediction of mortality were 85 7%,82 7%and 85 0% respectively.
Keywords:postoperative intraabdominal sepsis  risk factors  prognosis  
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