| 脾切除加贲门周围血管离断术死亡的危险因素分析 |
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| 引用本文： | 王志军,王加一,陈小莉. 脾切除加贲门周围血管离断术死亡的危险因素分析[J]. 医药论坛杂志, 2011, 0(13): 72-75 |
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| 作者姓名： | 王志军 王加一 陈小莉 |
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| 作者单位： | 安阳市人民医院普外科; |
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| 摘 要： | 目的明确脾切除加贲门周围血管离断术发生死亡的危险因素,以降低死亡率。方法回顾性分析2001年2月—2010年3月间在我院接受脾切除加贲门周围血管离断术连续217例患者的病历资料。应用SPSS软件对相关数据进行单变量及多变量分析。结果 217例脾切除加贲门周围血管离断术后死亡率为6.0%。经逻辑回归多变量分析确定了7个独立与死亡相关的因素,即急诊手术(OR=70.300)、肌酐(OR=50.911)、Child分级(OR=33.988)、肝性脑病(OR=27.524)、年龄(OR=15.719)、白蛋白(OR=9.458)及总胆红素水平(OR=6.890)。死亡的预测方程为:P=1/[1+e-(-9.723+4.253急诊手术+3.930肌酐+3.526Child分级+3.315肝性脑病+2.755年龄+2.247白蛋白+1.930总胆红素)]。结论脾切除加贲门周围血管离断术死亡的危险因素为急诊手术、肌酐≥176.8μmol/L、Child分级为C级、肝性脑病、年龄≥65岁、白蛋白<30g/L及总胆红素≥34.2mmol/L。
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| 关 键 词： | 贲门周围血管离断术 脾切除术 肝硬化 门静脉高压症 死亡率 |
Analysis of risk factors associated with mortality after splenectomy with periesophagogastric devascularization |
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| WANG Zhijun,WANG Jiayi CHEN Xiaoli. Analysis of risk factors associated with mortality after splenectomy with periesophagogastric devascularization[J]. Journal of Medical Forum, 2011, 0(13): 72-75 |
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| Authors: | WANG Zhijun WANG Jiayi CHEN Xiaoli |
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| Affiliation: | WANG Zhijun,WANG Jiayi CHEN Xiaoli Department of General Surgery,the People's Hospital of Anyang,Anyang,Henan 455000,China |
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| Abstract: | Objective To determine the risk factors associated with death after splenectomy with periesophagogastric devascularization(SPD)in order to decrease the mortality. Methods The data of 217 consecutive patients undergone SPD in our hospital from Feb.2001 to Mar.2010 were analyzed retrospectively.Univariate and multivariate analysis were performed on the data by SPSS software. Results The mortality of 217 cases undergone SPD was 6.0%.Multivariate analysis using logistic regression identified seven variables as ... |
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| Keywords: | Periesophagogastric devascularization Splenectomy Hepatic cirrhosis Portal hypertension Mortality |
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