腹部近期再手术32例临床分析

Clinical Analysis of Abdominal Recent Reoperation in 32 Cases

目的:分析腹部近期再手术的原因,探讨预防措施。方法:回顾性分析2006年5月-2012年5月笔者所在医院32例近期腹部再手术患者的临床资料,分析再手术原因及治疗措施。结果:近期再手术原因中,术后并发症占75%,未达到治疗效果占25%。32例患者再手术后并发切口感染3例,应激性溃疡2例,失血性休克3例,感染性休克3例,多器官功能衰竭2例。经积极治疗后痊愈30例,死亡2例。结论:手术并发症是腹部近期再手术主要原因,做好首次手术,可有效减少腹部再手术率。

Objective ：To summarize the causes and the practical experience in abdominal reoperation and to discuss its precaution.Methods ：32 cases of abdominal reoperation from May 2006 to May 2012 were investigated.The reasons of abdominal reoperation were analyzed.Results ：In all abdominal reoperations, the complication and no-effective rate of abdominal reoperation in a short period were 75% and 25%.The complicated infection of incision in 3 patients, stress ulcer in 2 cases, uncontrolled hemorrhagic shock in 3 cases, septic shock in 3 cases, multiple organ failure in 2 cases after reoperation.30 patients were cured, 2 patients were dead.Conclusion ：The main reasons of abdominal reoperation is complications of primary operation.Reducing iatrogenic factors may reduce the rate of abdominal reoperation.