中国实用外科杂志2016，Vol.36Issue(10)：1101-1104,4.DOI:10.7504/CJPS.ISSN1005-2208.2016.10.21
肠瘘合并腹腔出血危险因素及其预后分析
Risk factors and prognosis for intra-abdominal bleeding in patients with enterocutaneous fistula
摘要
Abstract
Objective To investigate the risk factors for intra-abdominal bleeding in patients with enterocutaneous fistula and assessed the prognosis of these patients. Methods The clinical data of 201 cases of enterocutaneous fistula patients admitted from October 2013 to October 2015 in Jinling Hospital, Medical School of Nanjing University, were analyzed retrospectively. The patients were classified as bleeding group(67 cases) and non-bleeding group(134 group), risk factors for intra-abdominal bleeding and prognosis of patients were analyzed. Results In the multivariate logistic regression analysis, duodenum fistula (OR 3.348, 95%CI 1.215~9.231, P=0.019), hemorrhage history (OR 10.698,95%CI 4.447~25.737, P<0.001) and acute kidney injury (OR 6.090 95%CI 2.408~15.404, P<0.001) were independent risk factors for intra-abdominal bleeding. In addition, compared with the non-bleeding group, bleeding group showed a significantly higher mortality rate, more prolonged total parenteral nutrition days, hospital and intensive care unit durations and cost, even more complications. Conclusion In duodenum fistula, hemorrhage history and acute kidney injury were independent risk factors for intra-abdominal bleeding. Intra-abdominal bleeding in patients with enterocutaneous fistul is under dangerous condition, the death rate is high, and associated with a poor prognosis.关键词
肠瘘/腹腔出血/风险因素Key words
enterocutaneous fistula/intra-abdominal bleeding/risk factor分类
医药卫生引用本文复制引用
吴磊,任建安,王革非,洪之武,任华建,吴秀文,刘秦杰,黎介寿..肠瘘合并腹腔出血危险因素及其预后分析[J].中国实用外科杂志,2016,36(10):1101-1104,4.基金项目
国家自然科学基金 （）
