CAJ | 학술논문

回顾诊断为胃癌并行手术治疗后于住院期间或手术后<30 d死亡患者36例，同时随机调取胃癌手术后恢复良好并顺利出院且术后生存时间≥30 d的患者共230例，采用二分类非条件Logistic回归分析围手术期死亡主要影响因素。结果显示胃癌围手术期死亡率为0．50%(36/7133)。多因素Logistic回归分析提示年龄、ASA评分、合并呼吸系统疾病及肿瘤分期是导致胃癌围手术期死亡的危险因素。高龄晚期胃癌伴有合并疾病患者围手术期死亡率较高，应完善术前准备，进行术前干预，降低胃癌围手术期死亡率。
회고진단위위암병행수술치료후우주원기간혹수술후<30 d사망환자36례，동시수궤조취위암수술후회복량호병순리출원차술후생존시간≥30 d적환자공230례，채용이분류비조건Logistic회귀분석위수술기사망주요영향인소。결과현시위암위수술기사망솔위0．50%(36/7133)。다인소Logistic회귀분석제시년령、ASA평분、합병호흡계통질병급종류분기시도치위암위수술기사망적위험인소。고령만기위암반유합병질병환자위수술기사망솔교고，응완선술전준비，진행술전간예，강저위암위수술기사망솔。
The clinical date of 36 cases of the total gastric cancer patients who received surgical treatment died within 30 days or during the initial hospital stay were retrospectively studied. These patients were compared with a randomly-chosen 230 patients who underwent the same operation during the same interval, and were alive after 30 days and discharged from hospital. The risk factors influencing postoperative mortality were determined by binary non-conditional logistic regression analysis. The mortality rate after surgical treatment was 0. 50% (36/7 133). Multivariate regression analysis identified that the advanced age, ASA score, pulmonary comorbidities, and tumor stage were correlated with the postoperative mortality. The elderly patients with advanced gastric cancer and comor-bid diseases have a high risk of postoperative mortality. To strengthen the preoperative preparation and intervention to reduce postoperative mortality of gastric cancer is a pressing task.