摘要
目的：对１６ 例腹部手术后近期再手术病人的再手术原因、并发症的防治及围手术期处理等进行回顾性分析。结果：本组１６ 例治愈１４ 例，死亡２ 例；再手术的原因为：术后大出血占３５．７ ％ （６／１６） 、胆肠瘘占２５．０ ％ （４／１６） ，医源性损伤占２５．０％ （４／１６） ，其它原因占１２ ．５％ （２／１６） 。结论：虽然此类手术难度大、风险大，但只要把握手术时机、重视手术方法、加强并发症防治及术后综合治疗，仍可提高再手术的安全性和术后疗效。
Objective:To investigate the causes and management of early reoperation in abdominal surgical patients.Methods:To analyze the causes of early reoperation and prevention of complications and management in perioperative period.Result:Reoperations in early stage were performed in 16 cases.The causes of reoperation were:massive bleeding in 6 cases;bile and bowel fistula in 4 cases.14 cases were cured, 2 cases were died, the reoperative mortality was 12.5%(2/16).Conclusion:Although to perform this sort sutgery is quite difficult and risky,safety and therapeutic result of reoperation could be improved by paying attention to operation timing,and to prevent and treat the postoperative complications by multimodal therapy.
出处
《湖北民族学院学报（医学版）》
1999年第3期1-4,共4页
Journal of Hubei Minzu University(Medical Edition)
关键词
再手术
并发症
腹部外科手术
Reoperation
Abdominal surgery
Complication
