| 刘延微.95例非计划再次手术原因分析与对策[J].中国肿瘤,2016,25(9):682-685. |
| 95例非计划再次手术原因分析与对策 |
| Causes of 95 Cases of Unplanned Reoperation and Relevant Countermeasures |
| 投稿时间：2016-03-21 |
| DOI：10.11735/j.issn.1004-0242.2016.09.A004 |
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| 中文关键词: 非计划再次手术 并发症 对策 |
| 英文关键词:unplanned reoperation complication countermeasures |
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| 中文摘要: |
| 摘 要：［目的］ 探讨非计划再次手术的原因及影响因素。［方法］ 提取 2011～2015年医疗统计系统资料，对10个手术科室发生的非计划再次手术病例进行分析。［结果］ 2011～2015年全院10个手术科室共开展手术60 005例，发生非计划再次手术95例，发生率0.15%。术后出血、吻合口瘘、副损伤是发生非计划再次手术的主要原因。［结论］ 非计划再次手术与患者病情、病种及术者专业水平、操作技术有关。因此，建立可操作的动态管理和质控制度及措施，降低非计划再次手术的发生势在必行。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the causes and countermeasure of unplanned reoperation. ［Methods］ The data were extracted from hospital medical records system between 2011 and 2015. The causes of unplanned reoperation in10 surgical departments of the hospital were analyzed. ［Results］ Total 60005 cases of operations were performed in 10 surgical departments from 2011 to 2015，among which 95 cases were unplanned reoperations with an unplanned reoperation rate of 0.15%. Postoperative hemorrhage，anastomotic fistula and secondary injury were the main causes of unplanned reoperation.［Conclusion］ Unplanned reoperations are associated with the condition of patients，disease types and surgical skills. It is imperative to upgrade management level and to establish a quality control system for reducing the unplanned reoperation rate. |
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