门脉高压症术后近期死亡病例分析

Analysis of death cases of portal hypertension in postoperative short-term

本文分析了47例门脉高压症术后近期死亡病例。主要死亡原因有器官衰竭(肝、肾衰竭,ARDS、MOF等)、再出血以及腹腔感染。造成器官衰竭的主要原因是手术打击和出血。影响术后近期死亡率的主要因素是术前病人的肝功能分级和手术时机。肝功能ⅠⅡⅢ级的死亡率分别为:8.1％,11.3％和52.1％;急诊手术术后近期死亡率明显高于择期手术。手术方式对术后近期死亡率无明显影响。文章对减少死亡的措施进行了讨论。

Forty seven dead cases of portal hypertension in postoperative short-term were analyzed. The primary causes of death were organ failure (hepatic, renal failure, ARDS, and MOF) ,rebleeding,and intraahdominal infection. The organ failure was related to operative strike and bleeding. The important fac-tors affecting the mortality were hepatic classification of patients and operative timing. The mortality rate of patients with class ⅠⅡⅢ was 8. 1%,11. 3% and 52. 1% respectively. Emergency operation had a higher postoperative short-term mortality rate than elective operation. Operative manners showed no significant effect on the mortality. The measures decreasing postoperative mortality were discussed.