Păunescu V, Răgălie S
Surgical Clinic, Clinical Hospital St. Pantelimon, Bucharest, Romania.
Rom J Intern Med. 1991 Jul-Dec;29(3-4):155-65.
A study carried out in 152 patients operated on for cancer of the colon showed that the early postoperative evolution of disease depends on the therapeutic method chosen according to the clinical stage of the tumor. The 31 deaths recorded in the first 30 postoperative days occurred mostly in the first week (45.1%) and were due either to hydro-electrolytic disturbances (69%) or to intraperitoneal septic complications (65%) with 0.66 and respectively 0.60 positive predictive value. Advanced forms of disease, emergency surgeries and presence of associated diseases are statistically significant risk factors.
一项针对152例接受结肠癌手术患者的研究表明，疾病的术后早期进展取决于根据肿瘤临床分期选择的治疗方法。术后前30天记录的31例死亡大多发生在第一周（45.1%），原因要么是水电解质紊乱（69%），要么是腹腔内感染并发症（65%），阳性预测值分别为0.66和0.60。疾病的晚期形式、急诊手术以及合并疾病的存在是具有统计学意义的风险因素。
