Initial 12-h Operative Fluid Volume is an Independent Risk Factor for Pleural Effusion after Hepatectomy

作     者：Xiang CHENG Jia-wei WU Ping SUN Zi-fang SONG Qi-chang ZHENG 程翔;吴佳威;孙平;宋自芳;郑启昌

作者机构：Department of Hepatobiliary Surgery Union Hospital Tongji Medical College Huazhong University of Seienee and Technology Wuhan 430022 China 

出 版 物：《Journal of Huazhong University of Science and Technology(Medical Sciences)》 (华中科技大学学报（医学英德文版）)

年 卷 期：2016年第36卷第6期

页      面：859-864页

核心收录：

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 0710[理学-生物学] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 0805[工学-材料科学与工程（可授工学、理学学位）] 0703[理学-化学] 0836[工学-生物工程] 10[医学] 

主　　题：hepatectomy pleural effusion 

摘      要：Pleural effusion after hepatectomy is associated with significant morbidity and prolonged hospital *** studies have addressed the risk factors for postoperative pleural ***,there are no researches concerning the role of the initial 12-h operative fluid *** aim of this study was to evaluate whether the initial 12-h operative fluid volume during liver resection is an independent risk factor for pleural effusion after *** this study,we retrospectively analyzed clinical data of 470 patients consecutively undergoing elective hepatectomy between January 2011 and December *** prospectively collected and retrospectively analyzed baseline and clinical data,including preoperative,intraoperative,and postoperative *** and multivariate analyses were carried out to identify whether the initial 12-h operative fluid volume was an independent risk factor for pleural effusion after *** multivariate analysis identified 2 independent risk factors for pleural effusion：operative time [odds ratio（OR）=10.2] and initial 12-h operative fluid volume（OR=1.0003）.Threshold effect analyses revealed that the initial 12 h operative fluid volume was positively correlated with the incidence of pleural effusion when the initial 12-h operative fluid volume exceeded 4636 m *** conclude that the initial 12-h operative fluid volume during liver resection and operative time are independent risk factors for pleural effusion after *** intravenous fluids should be restricted properly.