急性胆囊炎急诊腹腔镜胆囊切除术后并肺部感染原因剖析.docVIP

急性胆囊炎急诊腹腔镜胆囊切除术后并肺部感染原因剖析 　　【摘要】目的:探讨急性胆囊炎急诊腹腔镜胆囊切除术(LC)术后并肺部感染原因,对手术时机选择提供理论依据。方法:2000.1-2010.1期间通过对我院120例急性胆囊炎急诊LC病例设为A组,随机抽取同期非急性胆囊炎择期LC130例设为B组,比较两组术后肺部感染发病率、平均住院时间、死亡率;比较术前影响肺部感染危险因素、平均手术时间、术中平均出血量。结果:两组病人术后肺部感染发生率、平均住院时间、死亡率有显著差异(P0.05)。结论:急性胆囊炎急诊LC术后肺部感染发生率高,住院时间延长,有一定死亡率,若病情许可宜行择期手术。? 　　【关键词】急性胆囊炎;急诊LC;肺部感染? 　　doi:10.3969/j.issn.1006-1959.2010.09.055文章编号:1006-1959(2010)-09-2350-01? 　　 　　Emergency acute cholecystitis and laparoscopic cholecystectomy because of pulmonary infection (120 cases report)PENG JianAlleviation of General Surgery,Peoples Hospital (Sichuan Yilong,637 600)? 　　【Abstract】With acute cholecystitis emergency laparoscopic cholecystectomy (LC) patients and causes lung infection,timing of surgery to provide a theoretical basis.Methods:2000.1-2010.1 period on 120 cases of acute cholecystitis in our hospital emergency Set A group of LC patients were randomly selected from the same period in non-selective LC130 cases of acute cholecystitis set B group,compared the incidence of postoperative pulmonary infection.The average hospital stay time.mortality;more preoperative risk factors affecting lung infection,the average operation time,mean blood loss.Results:In both groups the incidence of postoperative pulmonary infection,the average length of stay,mortality rates were significantly different (P0.05).Conclusion:Emergency LC for acute cholecystitis high incidence of postoperative pulmonary infection,longer hospital stay,there is a certain mortality rate,if the condition permits should elective surgery.? 　　【Key words】Pulmonary;Infection of acute cholecystitis;Emergency LC 　　 　　通过对我院120例急性胆囊炎急诊LC病例肺部感染发生率等临床资料与随机抽取130例同期择期LC病例资料进行回顾性对比分析,探讨急性胆囊炎急诊LC术后肺部感染发生率高的原因,对手术时机选择提供理论依据。? 　　 　　1.资料和方法? 　　 　　1.1一般资料:2000年1月至2010年1月,选择我院120例急性胆囊炎急诊LC患者(设为A组),其中急性结石性胆囊炎118例,急性非结石性胆囊炎2例。病理分型:急性单纯性胆囊炎90例,急性化脓性胆囊炎20例,急性坏疽性胆囊炎10例。男50例,女70例,年龄45~80岁,平均62.5岁;肥胖30人;原有呼吸道疾病20人(慢性支气管炎12人,肺气肿6人,支气管哮喘2人)。随机抽取同期130例择期LC患者(设为B组),其中慢性结石性胆囊炎99人,慢性胆囊炎2人,胆囊息肉29人。男48例,女8