【摘要】 为探讨卵巢癌缩瘤术后入住重症监护病房 (ICU )监护的指征 ,将 2 4例卵巢癌缩瘤术后入 ICU监护的患者按监护时间≤ 48h及 >48h分为 A组 (13例 )及 B组 (11例 )。对术前 5个变量 (年龄、美国麻醉学会评分、体重、白蛋白水平及初次或再次手术 )及术中 4个变量 (失血量、腹水量、手术时间、有否肠切除等 )进行了比较 ,并对这些变量与监护时间进行了单因素直线相关分析。结果 :A、B两组术前 5个变量均无显著性差异 (P均 >0 .0 5 ) ;术后 4个变量中 ,除 B组肠切除发生率 (6 3.6 % )明显高于 A组 (15 .4% ,P <0 .0 5 )外 ,其余 3个变量均无显著性差异 (P均>0 .0 5 )。对 B组上述各变量与 ICU监护时间行直线相关分析 ,结果显示 :ASA评分、白蛋白水平及失血量与监护时间明显相关 (P <0 .0 5 )。说明卵巢癌缩瘤术后患者术前 ASA评分高、白蛋白水平低、术中失血多以及实施了肠切除的患者 ,术后更应在 ICU中监护治疗更多还原

【Abstract】 To study the indications of intensive care unit(ICU) care after cytoreductive surgery for ovarian cancer.A retrospective analysis was made in 24 patients admitted to the ICU from Jan.1,1995 to Sept.30,1999. Thirteen patients cared in the ICU for ≤48 hours(group A)were compared with 11 patients cared for >48 hours(group B).Five preoperative characteristics(age,American Society of Anaesthesiology (ASA)classification,body weight,albumin,primary versus recurrent disease) and four perioperative characteristics(estimated blood loss,ascites,surgical time,bowel resection) were compared between the two groups by univariate analysis.Results:All preoperative variables were similar between the two groups (P>0.05,respectively).There was not a significant difference between the two groups in perioperative variables(P>0.05,respectively) but the bowelresection(P<0.05).ASA classifications,albumin levels and estimated blood loss were significant in the univariate analysis(P<0.05,respectively).Conclusion:The patients with high ASA classification,low albumin levels,a large guantity of blood loss and undergone bowel resection will most likely benefit from ICU care.更多还原