Risk factors of pulmonary infection after splenectomy
[Objective]To analyze the risk factors of pulmonary infection after splenectomy.[Methods]A total of 240 patients who underwent splenectomy in Xiaogan Central Hospital from January 2019 to April 2023 were selected.Patients were divided into infected group(n=52)and uninfected group(n=1 88)according to whether they developed pulmonary infection after surgery.The perioperative indexes of the two groups were compared,and the risk factors of postoperative pulmonary infection were analyzed by logistic regression.[Results]Age ≥65 years old,history of smoking,BMI ≥20 kg/m2,diabetes mellitus,operation mode of open splenectomy,operation time ≥2 hours,procalcitonin ≥0.5ng/mL and postoperative hospitalization ≥7 days were the risk factors for pulmonary infection after splenectomy(P＜0.05).[Conclusion]For elderly patients undergoing splenectomy due to hypersplenic function,smoking history,long operation time and long postoperative hospital stay may increase the probability of pulmonary infection.Therefore,relevant prevention and treatment should be done.
万方数据
维普
