中国冶金工业医学杂志

老年大肠癌手术严重并发症相关因素分析

关键词：

分类号：R 735

出版年,卷(期):页码：2010,27(4):376-378

摘要：

目的：探讨老年大肠癌手术后出现严重并发症的相关性危险因素，为临床治疗干预提供参考。方法：记录349例老年大肠癌手术患者的围手术期假定相关临床因素、术后并发症，经统计学分析，寻找老年大肠癌术后严重并发症的相关危险因素。结果：349例术后出现严重并发症43例，术前血清白蛋白、术后第1天动脉血乳酸、血糖及 72 h 液体平衡值（手术当天、术后第1天、术后第2天），术前基础病、并存症、手术当天出血量及输血量、72 h 是否转为液体负平衡在大肠癌术后发生严重并发症组与无严重并发症组间差异有统计学差异（P＜005)。结论：术前血清白蛋白、术后第1天动脉血乳酸、血糖及 72 h 液体平衡值，术前基础病、并存症、手术当天出血量及输血量、72 h 是否转为液体负平衡是老年大肠癌手术严重并发症的相关因素。
关键词老年；大肠癌；并发症；危险因素

Analysis of elderly severe complications after colorectal cancer surgery\|related factorsWU Guo\|gang,LIU Ji\|sheng,QU Chang，et alDepartment General Surgery,The General Hospital of AISCO,Anshan 114002
Abstract Objective:To investigate severe complications associated risk factors of elderly colorectal cancer after surgery,provide a reference for clinical treatment interventionsMethods:To record 349 cases of elderly patients with colorectal cancer surgery perioperative clinical factors related assumptions,postoperative complications,through statistical analysis,looking for older patients with colorectal cancer risk factors of severe complicationsResults:There was 43 cases with severe complications in 349 patients,preoperative serum albumin,arterial blood lactate and glucose of first day after surgery,72\|hour fluid balance(the day of surgery,postoperative day 1,after 2 days),preoperative disease,coexisting disease,surgical blood loss and blood transfusion that day,72 hours whether to negative fluid balance were significantly different between severe complications group and without severe complications group(P＜005)Conclusions:Preoperative serum albumin,arterial blood lactate and glucose of first day after surgery,72\|hour fluid balance of preoperative disease,coexisting disease,surgical blood loss and blood transfusion that day,72 hours whether to negative fluid balance older of severe complications in colorectal surgery related factors
Key WordsElderly；Colorectal cancer;Complications;Risk factors

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参考文献：

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