急性胆囊炎急诊腹腔镜胆囊切除术后并肺部感染原因分析
【摘要】目的:探讨急性胆囊炎急诊腹腔镜胆囊切除术(LC)术后并肺部感染原因,对手术时机选择提供理论依据。方法:2000.1-2010.1期间通过对我院120例急性胆囊炎急诊LC病例设为A组,随机抽取同期非急性胆囊炎择期LC130例设为B组,比较两组术后肺部感染发病率、平均住院时间、死亡率;比较术前影响肺部感染危险因素、平均手术时间、术中平均出血量。结果:两组病人术后肺部感染发生率、平均住院时间、死亡率有显著差异(P<0.05);平均手术时间、术中平均出血量有显著差异(P<0.05);术前影响肺部感染危险因素无显著差异(P>0.05)。结论:急性胆囊炎急诊LC术后肺部感染发生率高,住院时间延长,有一定死亡率,若病情许可宜行择期手术。【关键词】急性胆囊炎;急诊LC;肺部感染
doi:10.3969/j.issn.1006-1959.2010.09.055文章编号:1006-1959(2010)-09-2350-01
Emergency acute cholecystitis and laparoscopic cholecystectomy because of pulmonary infection (120 cases report)PENG JianAlleviation of General Surgery,People's Hospital (Sichuan Yilong,637 600)
【Abstract】With acute cholecystitis emergency laparoscopic cholecystectomy (LC) patients and causes lung infection,timing of surgery to provide a theoretical basis.Methods:2000.1-2010.1 period on 120 cases of acute cholecystitis in our hospital emergency Set A group of LC patients were randomly selected from the same period in non-selective LC130 cases of acute cholecystitis set B group,compared the incidence of postoperative pulmonary infection.The average hospital stay time.mortality;more preoperative risk factors affecting lung infection,the average operation time,mean blood loss.Results:In both groups the incidence of postoperative pulmonary infection,the average length of stay,mortality rates were significantly different (P<0.05);The average operation time,mean blood loss was significantly different (P<0.05);surgery affected the lungs before risk factors for infection were no significant differences (P>0.05).Conclusion:Emergency LC for acute cholecystitis high incidence of postoperative pulmonary infection,longer hospital stay,there is a certain mortality rate,if the condition permits should elective surgery. ......
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