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肺动脉闭锁姑息手术后住院并发症发生的危险因素分析

Analysis of risk factors for complications in hospital after palliative operation of pulmonary atresia
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摘要 目的:分析肺动脉闭锁(PA)姑息手术后住院并发症发生的危险因素。方法:选取行姑息手术治疗的PA患者86例,术后发生并发症52例,未发生34例。收集患者术前、术中和术后的相关因素和指标进行分析。结果:经单因素分析、logistic回归分析,术前低血氧饱和度[OR(95%CI)=0.875(0.820~0.935)]和ICU滞留时间≥7 d[OR(95%CI)=18.378(2.746~123.020)]是PA姑息手术后住院并发症发生的独立危险因素。结论:术前低血氧饱和度和ICU滞留时间≥7 d是PA姑息手术后住院并发症发生的独立危险因素。 Aim: To evaluate the risk factors for complications in hospital after palliative operation of pulmonary atresia( PA). Methods: A total of 86 PA patients who underwent palliative operation were allocated into 2 groups,group A( with complications) was comprised of 52 patients,and group B( without complications) was comprised of 34 patients. The clinical data before and after palliative operation were retrospectively analyzed. Results: Univariate analysis and logistic regression showed that low oxygen saturation before palliative operation[OR( 95% CI) = 0. 875( 0. 820-0. 935) ] and time of staying in ICU ≥7 d [OR( 95% CI) = 18. 378( 2. 746-123. 020) ] were the risk factors of complications in hospital after palliative operation of PA. Conclusion: Low oxygen saturation before palliative operation and long time of staying in ICU are the risk factors of complications in hospital after palliative operation of PA.
出处 《郑州大学学报(医学版)》 CAS 北大核心 2017年第3期363-365,共3页 Journal of Zhengzhou University(Medical Sciences)
关键词 肺动脉闭锁 姑息手术 危险因素 并发症 pulmonary atresia palliative operation risk factor complication
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