梗阻性黄疸高危因素分析

目的 :通过探讨梗阻性黄疸临床指征 ,了解其病程中的高危因素。并及时降低并发症及死亡率 ,提高临床疗效。方法 :对我科 1993年— 2 0 0 0年收治的 2 92例梗阻性黄疸病人进行性分析 ,统计年龄、梗阻时间、性质、手术时间 ,入院 2 4小时内测尿素氮 (BUN)、白蛋白 (A)、总胆红素(TBIL)、白细胞 (WBC)、血红素 (HB)、腹水 ,分析其高危因素。结果 :年龄 >6 5岁并发症发生率为2 5 .2 0 % ,病死率 3.2 5 % ;梗阻时间超过 2 0天以上者 ,并发症 2 8.87% ,病死率 5 .15 % ;肝功能Child氏B级、C级者 ,并发症发生率为 2 9.2 0 % ,病死率为 5 .31% ,延期手术并发症发生率为 2 9.4 1% ,病死率为 4 .90 %。结论 :梗阻性黄疸病人年龄越大 ,梗阻时间越长 ,肝功能越差 ,不及时手术是各种并发症发生及病死率增高的高危因素

High-RISK Factors of The Obstructive Jaundice

Objective: To investigate the high-risk factors of the Obstructive Jaundice and reduce the complication and mortality in clinical practice. Methods: The clinical data of 292 patients with Obstructive Jaundice in our hospital from 1993 to 2000 were retrospectively analyzed, according to statistics of age, the happening time of obstructive, the quality, the time of operation and the 24h level of BUN, A, TBIL, WBC, HB and ascites. Resulted:>65years old. The occurring rate of complications was 25.20%, the mortality was 5.15%, the happening time of obstructive more than 20days was (28.87% and 5.15%), Child Bor C (29.20%/5.31%). The defer operation (29.41%/4.9%). Conclusions: the happening time of obstruction, the age of patients poor graft function, defer operation are its high-risk factors.