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急性胆囊炎急诊腹腔镜胆囊切除术后并肺部感染原因分析
http://www.100md.com 2010年9月1日 《医学信息·中旬刊》 2010年第9期
     【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(P<0.05);平均手术时间、术中平均出血量有显著差异(P<0.05);术前影响肺部感染危险因素无显著差异(P>0.05)。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,People's 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 (P<0.05);The average operation time,mean blood loss was significantly different (P<0.05);surgery affected the lungs before risk factors for infection were no significant differences (P>0.05).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. ......

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