118例术后患者转入外科危重病房回顾性分析

A RETROSPECTIVE ANALYSIS ON CAUSES OF 118 POSTOPERATIVE PATIENTS TRANSFERRED TO SURGICAL ICU

目的:探讨术后患者经麻醉科转入外科危重病房的原因。方法:对118例患者转入外科危重病房进行回顾性分析。结果:颅脑、颈胸、心脏和腹部手术转入最多113例,四肢手术5例;大手术47例,有外科合并症者转入28例;高风险手术20例,中度风险手术94例,低度风险手术4例;术后垂危病人转入4例;麻醉方法以气管插管全麻(包括硬膜外+全麻插管)最多105例,其中带气管导管入外科危重病房88例。结论:大手术、中度风险以上手术、伴有外科合并症的手术以及合并有内科疾患的患者手术,术后转入外科危重病房给予监护及加强治疗,利于手术所致的病理生理改变恢复,提高手术的成功率。

Objective: To explore the causes of 118 postoperative patients transferred to surgical ICU. Method: Clinical data of 118 postoperative patients has been analyzed.Results: Among the studied cases,113 were conducted operations on cranium,neck,heart and abdomen and 5 operations on limbs.There were 47 major operations and 28 cases had surgical complications.20 cases were high - risk operation, 94 middle - risk operations and 4 low risk operations.4 patients were transferred under critical emergency.Tracheal incubation anesthesia was used in 105 patients and 88 patients were moved to ICU with tracheal incubation postoperatively. Conclusion: It is suggested that patients with major, middle - risk or above operations and complicated with underlined diseases be transferred to surgical ICU for monitoring and further treatment.