Risk factors of postoperative liver dysfunction in cirrhotics after splenorenal shunt and esophagogastric devascularization / 中华普通外科杂志
Chinese Journal of General Surgery
;
(12): 770-773, 2017.
Artigo
em Chinês
| WPRIM
| ID: wpr-657891
ABSTRACT
Objective To explore the risk factors of postoperative liver dysfunction in cirrhotic patients with Child-Pugh A liver function after splenorenal shunt and esophagogastric devascularization.Methods 128 Child-Pugh A cirrhotics undergoing splenorenal shunt and portal-azygous disconnection in our hospital from February,2014 to February,2016 were evaluated for risk factors of postoperative liver dysfunction.Results 22 cases (17.2%) developed postoperative liver dysfunction.By single factor analysis,age,history of upper gastrointestinal hemorrhage,ascites,serum prealbumin,serum albumin,mechanical ventilation time after surgery,postoperative serum albumin were associated with postoperative liver dysfunction.Non-conditional Logistic regression showed that age > 60,serum prealbumin < 170 g/L and serum albumin < 30 g/L was independent risk factors for postoperative liver dysfunction.Conclusion Patients' age > 60,serum prealbumin < 170 g/L and serum albumin < 30 g/L was independent risk factors for postoperative liver dysfunction after splenorenal shunt and portal-azygous disconnection.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Tipo de estudo:
Estudo de etiologia
/
Fatores de risco
Idioma:
Chinês
Revista:
Chinese Journal of General Surgery
Ano de publicação:
2017
Tipo de documento:
Artigo
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