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本研究对292例择期胃肠道手术病人(如食管胃切除、胰十二指肠切除、肝切除、胃切除、结直肠切除、经腹腔镜胆囊切除)的术前生理情况(ASA计分)、术中失血量、手术时间、切除范围及术后情况进行了回顾性分析,探索术后全身炎症反应综合征(SIRS)与手术创伤、术后并发症、术后器官功能障碍之间的关系。所有病例术前均无SIRS。以下4项条件中至少符合2项才能判断为SIRS:①体温>38℃或<36℃;②心率>90次/分;③呼吸>20次/分或PaCO_2<4.3kPa;④WBC>12000/mm~3,<4000/mm~3或未成熟带状核粒细胞>10％。根据临床表现和实
In this study, preoperative physiology (ASA score) of 292 patients undergoing elective gastrointestinal surgery (esophagectomy, pancreatoduodenectomy, hepatectomy, gastrectomy, colorectomy, and laparoscopic cholecystectomy) , Intraoperative blood loss, operative time, resection range and postoperative status were retrospectively analyzed to explore the relationship between postoperative systemic inflammatory response syndrome (SIRS) and surgical trauma, postoperative complications, postoperative organ dysfunction . All cases had no SIRS before surgery. The following four conditions in line with at least 2 can be judged as SIRS: ① body temperature> 38 ℃ or <36 ℃; ② heart rate> 90 beats / min; ③ breathing> 20 beats / min or PaCO_2 <4.3kPa; ④ WBC> 12000 / mm ~ 3, <4000 / mm ~ 3 or immature banding granulocytes> 10%. According to clinical manifestations and real