856例良性梗阻性黄疸手术患者高危因素分析

Analysis of High Risk Factors and Following 856 Cases of Obstructive Jaundice

目的:为了进一步改善梗阻性黄疸手术患者的预后。方法:对本组856例患者采用卡方检验筛选高危因素。结果:年龄≥60岁,原发病史≥10年,肝功能Child B、C级,血浆胆红素≥171 μ mol/L,有合并病,术前休克,以及胆汁脓性、胆压高等为高危因素。结论:梗阻性黄疸手术前对上述高危因素恰当处理可降低病死率。

Objective： To improve the obstructive jaundice patients prognosis. Methods：Using chi-square test deal with the data of the group 856 patients to findout high-risk factors. Results：Studies show that there are eight high risk factors neat：age≥ 60 years, course of disease ≥10 years, Liver function Child B,C,serus bilirubin〉17 μmol/ L, merge other organ disease, pre-operative shock is not put-right,purulent bile and bile duct pressure higher.Conclusions：If properly deal with these risk factors of pre-opration can reduce the mortality rate.