非计划再手术原因分析与思考

Analysis and Consideration of the Reasons for Unplanned Re-operation

目的加强围手术期管理,提高医院手术病人的医疗质量,保障患者安全。方法对某医院2015年至2017年所有非计划再手术病例资料进行回顾性分析。结果 2015年至2017年一次住院期间行二次及以上手术的病例共18477例,非计划再手术病例408例,占0.41%。其中手术后出血、切口问题、吻合口问题、手术部位感染是发生非计划再手术的主要原因。结论重视围手术期管理,降低非计划再手术发生率,可缩短患者的平均住院日,实现医疗质量的持续改进,医院经济效益的提高,构建和谐的医患关系。

Objective Strengthen perioperative management,improve the quality of medical care of patients in hospital,and ensure patient safety.Method Data of all unplanned reoperation cases from 2015 to 2017 in a hospital were retrospectively analyzed.Results From 2015 to 2017,18477 cases underwent two or more operations during one hospital stay,408 cases were unplanned reoperation,accounting for 0.41%.Postoperative bleeding,incision problems,anastomotic problems and surgical site infection are the main causes of unplanned reoperation.Conclusion Pay attention to the management of perioperative period,reduce the incidence of non planned reoperation,shorten the average hospital days,improve the quality of medical treatment,improve the economic efficiency of the hospital,and build a harmonious relationship between doctors and patients.