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(附120例临床报告)

Emergency acute cholecystitis and laparoscopic cholecystectomy because of pulmonary infection (120 cases report)

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。

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）;The average operation time,mean blood loss was significantly different （P0.05）;surgery affected the lungs before risk factors for infection were no significant differences （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.