Xing X, Wu Z D
Department of Surgery, Tongji Hospital, Tongji Medical University, Wuhan.
J Tongji Med Univ. 1995;15(3):158-61. doi: 10.1007/BF02888226.
In order to identify the high risk factors that determine subphrenic infection after hepatectomy, 187 liver resections performed during January, 1985 to December, 1990 in Department of Surgery of Tongji Hospital were reviewed. Thirteen patients developed subphrenic infection with the incidence of subphrenic infection being 6.95%. The results of retrospective study on 187 liver resections demonstrated that the high risk factors related to subphrenic infection after hepatectomy were as follows: (1) The extent of liver resection was associated with subphrenic infection. (2) The incidence of subphrenic infection after liver resection of primary liver cancer patients with hepatic cirrhosis was higher than that of non-cirrhotic patients. (3) Intraoperative estimated blood loss greater than 1500 ml was found to be a significant risk factor in the development of postoperative subphrenic infection. (4) Adequate postoperative drainage of subdiaphragm and the raw surface of the liver was one of critical factors of decreasing subphrenic infection after liver resection.
为了确定肝切除术后膈下感染的高危因素，回顾了1985年1月至1990年12月在同济医院外科进行的187例肝切除术。13例患者发生膈下感染，膈下感染发生率为6.95%。对187例肝切除术的回顾性研究结果表明，肝切除术后膈下感染的高危因素如下：（1）肝切除范围与膈下感染有关。（2）肝硬化原发性肝癌患者肝切除术后膈下感染发生率高于非肝硬化患者。（3）术中估计失血量大于1500ml是术后发生膈下感染的重要危险因素。（4）术后膈下及肝创面充分引流是降低肝切除术后膈下感染的关键因素之一。
