腹部外科手术87例死亡原因分析  

Analysis of the Death Factors in 87 Cases of Abdominal Operations

作　　者：马峻峰[1] 唐波[1] 李铁汉[1] 张捷[1] 

机构地区：[1]昆明医学院第二附属医院,云南昆明650101

出　　处：《中国医疗前沿（学术版）》2008年第11期21-22,共2页China Healthcare Innovation

摘　　要：目的探讨腹部外科手术后常见的死亡原因,总结经验教训,以便采取有效的防治措施。方法对我院2000～2008年行腹部外科手术后87例死亡病例进行回顾性分析。结果87例腹部外科手术后并发肺部感染率18例(20.7%),其中,主要因呼吸衰竭死亡23例(26.4%),肝、肾功能衰竭11例(12.6%),多脏器功能衰竭38例(48.7%),其它15例。死亡以急诊手术和老年患者为最高,并发症多发生于呼吸循环系统。结论重视围手术期肺功能的监测及综合防治,改善病人重要器官的生理功能,是减少术后并发症和降低病死率的重要措施。Objective To explore the Death Factors of Abdominal Operations so as to summarize the clinical prevention and cure experience. Methods Retrospective analyses of 87 death Cases of Abdominal Operations from 2000 to 2008. Results Pulmonary infection is in 18 （20.7%） after 87 Cases of Abdominal Operations, while the Respiration and circulation failure was 23 （26.4%）, liver and renal failure was 11 （12.6%）, MOF was 38 （48.7%） and others were 15 cases. The complications of respiration and circulation system were happened commonly and the postoperative mortality was highly in elderly patients and emergency operation. Conclusion To enhance the pulmonary function evaluation and monitor, ameliorate patient conditions and strengthen integrate control in Perioperative management were very important in clinical practice.

关 键 词：腹部手术 死亡 呼吸循环衰竭 

分 类 号：R656[医药卫生—外科学] R735[医药卫生—临床医学]