| 摘要: |
| 目的 探讨腹部手术患儿围术期死亡的术前相关危险因素。方法 回顾性分析58例围术期死亡的腹部手术患儿病例资料，并选择同期住院的小儿腹部手术未死亡患儿58例作为对照组，对数据进行单因素分析，并选取有意义的危险因素进行logistic回归分析。结果单因素分析筛选出7个可能与腹部手术患儿术后死亡相关的危险因素，包括年龄、低BMI、ASA分级、早产、急诊、凝血功能异常、饱胃。logistic回归分析结果显示：年龄＜0.1岁（OR=303.501，95%CI20.553~4481.738，P=0.000）、低BMI（OR=17.870，95%CI1.514~210.976，P=0.022）、ASA≥Ⅲ级（OR=53.509，95%CI4.005~714.919，P=0.003）、凝血功能异常（OR=72.222，95%CI3.154~1653.967，P=0.007）为腹部手术患儿围术期死亡的术前独立危险因素。结论腹部手术患儿合并年龄＜0.1岁、BMI＜15kg/m2、ASA≥Ⅲ级、凝血功能异常时应警惕发生死亡的可能性。 |
| 关键词: 小儿 腹部手术 围术期死亡 危险因素 |
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| Risk factors of perioperative mortality in children with abdominal surgery |
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LIAN Chunwei, HUANG Congcong, TIAN Xinyi, SHANG Guanwangning
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the Second Affiliated Hospital of Wenzhou Medical University
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| Abstract: |
| Objective To investigate risk factors of perioperative mortality in children with abdominal surgery. Methods Thirty seven cases of perioperative mortality and 58 cases of control in children with abdominal surgery from January 2007 to October 2013 were collected. Univariate and multivariate logistic regression analysis was performed to analyze the risk factors of perioperative mortality. Results Univariate analysis identified 18 variables including age, low BMI, ASA classification, history of prematurity, emergency, unconsciousness, coagulation abnormality, fasting time were identified as risks factors of perioperative mortality (P＜0.05). The Logistic regression analysis showed that age ＜0.1y(OR 303.501, 95%CI 20.553~4481.738, P=0.000), low BMI(OR 17.870, 95%CI 1.514~210.976, P=0.022), ASA＞3(OR 53.509, 95%CI 4.005~714.919, P=0.003), coagulation abnormality (OR 72.222, 95%CI 3.154~1653.967, P=0.007) were the independent risk factors. Conclusion Young age, low BMI, high ASA and coagulation abnormality would increase the perioperativy mortality in children with abdominal surgery. |
| Key words: Children Abdominal surgery Perioperative mortality Risk factors |
