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[目的]探讨肝癌病人手术后发生肺部并发症(PPC)的危险因素。[方法]回顾性分析230例因肝癌住院并接受剖腹(非腹腔镜)手术治疗的病例资料,采用单因素、多因素Logitic回归分析的方法筛选与发生PPC相关的危险因素。[结果]单因素分析表明术前白蛋白水平等24个因素与PPC的发生有关;多因素Logistic回归分析筛选出发生PPC的独立危险因素为:术前呼吸道感染史(OR=53.786)、Child分级(OR=7.462)、术后留置鼻胃管时间(OR=1.658)、门静脉宽度(OR= 1.241)、术前抑酸剂使用时间(OR=1.158)、术中气管插管时间(OR=1.009)、术后镇痛(OR=0.238)。[结论]Child分级、门静脉宽度、术前呼吸道感染史、术前抑酸剂使用时间、术中气管插管时间、术后留置鼻胃管时间、术后镇痛与否是影响肝癌手术病人术后发生肺部并发症的独立危险因素。
[Objective] To investigate the risk factors of pulmonary complications (PPC) after liver cancer surgery. [Methods] A retrospective analysis of 230 cases of liver cancer hospitalized and undergoing laparotomy (non-laparoscopic) surgical treatment of case data, single factor, multivariate logistic regression analysis of screening and risk factors associated with the occurrence of PPC. [Results] Univariate analysis showed that 24 factors such as preoperative albumin level were associated with the occurrence of PPC. The independent risk factors of PPC screening by multi-factor Logistic regression analysis were as follows: preoperative respiratory tract infection history (OR = 53.786), Child classification (OR = 1.448), duration of intubation (OR = 1.658), length of portal vein (OR = 1.241) ), Postoperative analgesia (OR = 0.238). [Conclusion] The classification of Child, the width of portal vein, the history of preoperative respiratory tract infection, the duration of preoperative antacid use, the duration of endotracheal intubation, the placement of nasogastric tube after operation, and postoperative analgesia Post-pulmonary complications of independent risk factors.