手术并发症160例原因分析

Cause Analysis of 160 Cases of Surgical Complications

目的探讨手术并发症发生的原因,为预防手术并发症的发生提供依据。方法回顾我院2012年发生手术并发症的160例住院病人资料,统计分析手术并发症的高危因素。结果手术并发症发生率为1.07%,营养状态、易栓体质、术前合并糖尿病或心肺疾病、手术方式、术中操作、手术时间、术后患者活动及患者对医嘱依从性均为手术并发症的高危因素。结论医院的管理重点应放在重点手术、多发科室、手术并发症的高危因素上,针对围手术期的医疗质量存在的问题及原因进行分析改进,持续改善医疗质量。

Objective To investigate the causes of surgical complications, and provide the basis for prevention of surgical complications. Methods A total of 160 cases of surgical complications inpatients were retrospectively analyzed in 2012.Analyzing risk factors of surgery illness complication. Results The rate of surgical complication is 1.07%. The nutritional status, embolism constitution body, preoperative diabetes or heart and lung disease, surgery operation, intraoperative operating, operative time, postoperative patient activity and patient compliance are all risk factors of surgical complications. Conclusions The hospital management should focus on key operations, multiple departments, risk factors of surgical complications and the problems and reasons of perioperative medical quality, and continue to improve medical quality.