|
|
|
| Analysis of the Risk Factors for Unexplained High Fever Following Splenectomy in Patients with Portal Hypertension |
| YI Cheng |
| Department of General Surgery, Jintang First People's Hospital, Jintang 610400, Sichuan Province, China |
|
|
|
|
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.
|
|
Received: 16 February 2017
|
|
|
|
|
|
[1]何军明,钟小生,黄有星,等.选择性贲门周围血管离断术治疗肝硬化门静脉合并高压症36例疗效观察[J].广东医学,2011,32(13):1733-1734.
[2]吕萍,唐才喜,陈迅,等.腹腔镜下脾切除联合贲门周围血管离断术围手术期的护理[J].医学临床研究,2014,31(3):614-617.
[3]孙强.门静脉高压症脾切除术后持续性发热原因的探讨[J].安徽医学,2013,34(5):586-588.
[4]吴胜利,仵正,王瑞涛,等.肝炎后肝硬化门脉高压症患者行脾切断流术后门静脉系统血栓形成的风险因素分析及处理[J].西安交通大学学报医学版,2014,35(5):714-716.
[5]杨卫生,郭武华.肝硬化门静脉高压症患者肝脏血流动力学指标与门静脉压力的相关性研究[J].中国全科医学,2016,19(23):2784-2788.
[6]高鹏程.脾切除术后非感染性发热的高危因素研究[J].中国医师进修杂志,2016,39(7):646-648.
[7]孙强.门静脉高压症脾切除术后持续性发热原因的探讨[J].安徽医学,2013,34(5):586-588.
[8]洪文,丛鹏.肝硬化门静脉高压门体断流脾切除术后并发症的发生及影响因素分析[J].国际外科学杂志,2014,41(10):669-673.
[9]戴磊,卢庆凯,董刚,等.门静脉高压症患者脾切除术后持续性发热原因的探讨[J].东南大学学报医学版,2013,32(3):305-307.
[10]唐寒秋.腹腔镜下脾切除术联合贲门周围血管离断术治疗肝硬化门静脉高压的效果观察[J].临床肝胆病杂志,2016,32(9):1743-1746. |
|
|
|
2017, Vol. 34 
