Abstract：【Objective】To explore the risk factors for unexplained high fever following splenectomy in patients with portal hypertension (PHT).【Methods】The clinical data of 60 patients treated with splenectomy pericardia vascular disconnection in our hospital from January 2012 to December 2015 were retrospectively analyzed. According to the inclusion criteria of postoperative fever, they were divided into the observation group (n=26), with the duration of unexplained fever over 7d, and the highest temperature no less than 38℃ and the control group (n=34). Univariate and multivariate analyses were performed to screen the high-risk factors for postoperative unexplained high fever.【Results】The univariate analysis showed that the differences between the two groups in preoperative liver function grade, total bilirubin (TBIL), intraoperative blood loss and intraoperative ascites were statistically significant (P<0.05). Multivariate Logistic analysis showed that the liver function grade, TBIL, intraoperative blood loss and intraoperative ascites were the high-risk factors for unexplained high fever after splenectomy in PHT patients (P<0.05).【Conclusion】Preoperative poor liver function grade, high TBIL level, large amount of intraoperative blood loss and increased intraoperative ascites volume are the major risk factors for high fever after splenectomy in patients with portal hypertension.
易成. 门静脉高压患者脾切除术后不明原因“高热”的相关影响因素分析[J]. 医学临床研究, 2017, 34(10): 1935-1937.
YI Cheng. Analysis of the Risk Factors for Unexplained High Fever Following Splenectomy in Patients with Portal Hypertension. JOURNAL OF CLINICAL RESEARCH, 2017, 34(10): 1935-1937.
2017, Vol. 34 
