肝癌患者术后合并肺部感染危险因素分析.docVIP

肝癌患者术后合并肺部感染危险因素分析 　　[摘要] 目的 探讨肝癌患者术后合并肺部感染的危险因素。方法 120例原发性肝癌患者分为感染组（12例）和非感染组（108例），比较两组患者在性别、年龄、术前是否合并基础疾病及手术时间、术中出血量、术中输血量、机械通气时间指标的差异，并对其危险因素进行Logistic回归分析。 结果 120例肝癌患者术后发生肺部感染12例（10.0%）。在年龄、术前是否合并基础疾病、手术时间、术中出血量、术中输血量、机械通气时间方面感染组与非感染组比较，差异有统计学意义（P60岁、术前合并基础疾病、手术时间长、术中出血量多、术中输血量多、机械通气时间长为肝癌患者术后发生肺部感染独立的危险因素。 　　[关键词] 肝癌患者；肺部感染；危险因素 　　[中图分类号] R735.7[文献标识码] A[文章编号] 1673-9701（2014）18-0017-03 　　 　　Risk factor analysis of HCC patients after pulmonary infection 　　HUANG Yanjin LIANG Yongren LIAO Junping OU Guangwu 　　Department of Hepatobiliary Surgery, Guangdong Province Gaozhou City People’s Hospital，Gaozhou 525200, China 　　[Abstract] Objective To investigate risk factors of postoperative pulmonary infection in patients with liver cancer. Methods A total of 120 patients with primary liver cancer patients were divided into infected group(12 cases) and non-infected group(108 cases), two groups of patients in sex, age, underlying disease, whether ascites before surgery, surgery transfusion amount of time, blood loss, intraoperative, duration of mechanical ventilation index differences were compared and line Logistic regression analysis of its risk factors. Results In 120 cases of hepatocellular carcinoma 12 cases of postoperative pulmonary infection, the rate was 10.0%. The differences of age, underlying disease, whether ascites preoperative, operative time, blood loss, intraoperative blood transfusion, duration of mechanical ventilation in non-infected group and the infection group were statistically significant (P 60 years, underlying disease, preoperative ascites, long operation time, blood loss volume, blood transfusion volume, length of mechanical ventilation independent are risk factors for lung infections in patients with liver cancer after surgery. 　　[Key words] Liver cancer; Lung infection; Risk factors 　　原发性肝癌（以下简称肝癌)术后易合并肺部感染，从而影响患者的预后, 如何进一步提高肝癌术后疗效，降低肝癌患者术后感染的发生是临床医护人员需要解决的问题[1]。本文旨在通过探讨肝癌患者术后合并肺部感染的危险因素，为临床治疗提供借鉴，现报道如下。 　　 　　1资料与方法 　　1.1一般资料