[胃十二指肠手术后肺部并发症的危险因素]

[Risk factors for postoperative pulmonary complications after gastroduodenal operation].

作者信息

Jiang Shan-ping, Li Zhi-ying, Huang Li-wen, Zeng Zhi-yong, Chang Jian-xi, Chen Shuang

机构信息

Department of Respiratory Medicine, The Second Affiliated Hospital, Sun Yat-sen University, Guangzhou 510120, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2005 Sep;8(5):425-8.

PMID:16224659

Abstract

OBJECTIVE

To investigate the risk factors for postoperative pulmonary complications (PPC) after gastroduodenal operation.

METHODS

From December 1999 to December 2003, clinical data of 508 patients undergoing gastroduodenal operation were analyzed retrospectively. Risk factors for PPC were screened.

RESULTS

The complication rate of PPC was 25.8% (131/508). Multivariate logistic regression analysis revealed that age (OR=1.052), history of respiratory diseases (OR=2.915), serum albumin level (OR=0.995), length of intratracheal intubation (OR=1.005), length of nasogastric intubation (OR=1.059) and length of postoperative mechanical ventilation (OR=1.367) were risk factors for PPC.

CONCLUSION

Patients with old age, lower serum albumin level, intraoperative or postoperative nasogastric intubation, intratracheal intubation or long-term mechanical ventilation were more prone to develop PPC.

摘要

目的

探讨胃十二指肠手术后肺部并发症（PPC）的危险因素。

方法

回顾性分析1999年12月至2003年12月期间508例行胃十二指肠手术患者的临床资料，筛选PPC的危险因素。

结果

PPC的发生率为25.8%（131/508）。多因素logistic回归分析显示，年龄（OR=1.052）、呼吸系统疾病史（OR=2.915）、血清白蛋白水平（OR=0.995）、气管插管时间（OR=1.005）、鼻胃管插管时间（OR=1.059）及术后机械通气时间（OR=1.367）是PPC的危险因素。