Scott C M, Grasberger R C, Heeran T F, Williams L F, Hirsch E F
Department of Surgery, Boston City Hospital, Massachusetts 02119.
Am J Surg. 1988 Feb;155(2):284-8. doi: 10.1016/s0002-9610(88)80715-3.
In a review of 58 patients who survived liver trauma seen at Boston City Hospital, 10 patients had 13 intraabdominal abscesses and 1 died from overwhelming sepsis. Multivariate analysis of risk factors revealed that the number of units of perioperative, postoperative, and total blood transfused were each highly significant (p less than 0.0001). Mode of injury, hepatic resection, gastrointestinal tract perforation, and the number of associated injuries were not significant risk factors when transfusion requirements were accounted for. Fever and leukocytosis were unreliable predictors of abscess formation. The available literature suggests a strong relationship between intraperitoneal bleeding and septic complications.
在对波士顿市医院收治的58例肝外伤存活患者的回顾中，10例患者发生了13例腹腔内脓肿，1例死于严重败血症。危险因素的多变量分析显示，围手术期、术后及总输血量均具有高度显著性（p小于0.0001）。当考虑输血需求时，损伤方式、肝切除术、胃肠道穿孔及相关损伤数量并非显著的危险因素。发热和白细胞增多是脓肿形成不可靠的预测指标。现有文献表明腹腔内出血与感染并发症之间存在密切关系。
