Objective:To evaluate the peri-operative risk factors in patients with Budd-Chiari syndrome (B-CS).
Methods :Five hundred and forteen cases of B-CS with complete clinical data were analyzed retrospectively. All the patients underwent surgical procedures.
Results:The univariate analysis revealed that age, concomitant disease, smoking, drinking, ascites, jaundice, electrolyte disorder, nutrition, postoperative hypotension, operative blood loss, albumin level, operation time, operation timing, pathologic classification, level of blood sugar, history of hemorrhage and prothrombin time (χ=-5.089~234.858, P=0~0.028) were possible perioperative risk factors of Budd-Chiari syndrome. The multivariate logistic regression analysis demonstrated that alcohol drinking, pathologic classification, operation time, operative blood loss, nutritional status, postoperative hypotension, jaundice, electrolyte disorder, level of blood sugar and severe complications (χ=-0.912~2.147, P=0~0.07) were independent peri-operative risk factors of Budd-Chiari syndrome.
Conclusions:Peri-operative high risk factors of Budd-Chiari syndrome can reflect the risks of Budd-Chiari syndrome, and can be very valuable as clinical reference for selection of operation timing and evalution of prognosis.