普外科非计划再手术原因分析与防治对策

摘要

目的：通过对普外科非计划再手术临床资料的回顾性分析，探讨非计划再手术发生的根本原因，找出有效的预防治疗对策，以提高医疗质量，保证医疗安全。方法：对某医院普外科两年间2460例手术中17例非计划再手术患者的临床资料进行多因素分析，计算不同原因的构成比及非计划再手术率。结果：非计划再手术率为0．69％，切口问题、胃肠漏、吻合口漏、胆漏、肠梗阻等术后并发症是非计划再手术发生的主要原因。结论：临床工作中应对非计划再手术事件引起重视。术中规范操作，术后密切观察，提高手术和护理质量，积极预防术后并发症的发生，是降低非计划再手术发生率的切实可行方法。%Objective:To explore the basic reason of unplanned re-operation in the general surgery department,and find the ef-fective prevention and treatment measures.Methods:From 201 1 to 2012,the clinical data of 17 patients who underwent unplanned re-operations were analyzed statistically,and the composition of the different factors and the unplanned re-operation rate were calculated. Results:The unplanned re-operation rate is 0.69%,and the main reason for unplanned re-operation are incision problem,gastrointesti-nal leakage,anastomotic leakage,bile leakage,intestinal obstruction and other postoperative complications.Conclusion:We should pay attention to unplanned re-operation events that exist in clinical work,the standard operation,close observation after surgery and improve the quality of surgery and care,so as to actively prevent the occurrence of postoperative complications,which is the practicable means to reduce the incidence of unplanned re-operation.