胸外科围手术期死亡原因的临床分析  

Clinical Analysis of the Reasons for Perioperative Death in Patients of Thoracic Surgery

作　　者：宗亮[1] 孙清超[1] 丁旭[1] 郭志金[1] 张昌明[1] 邓彦超[1] 伊力亚尔.夏合丁 张海平[1] 张铸[1] 

机构地区：[1]新疆医科大学第一附属医院胸外科,新疆乌鲁木齐830011

出　　处：《新疆医学》2011年第5期8-11,共4页Xinjiang Medical Journal

摘　　要：目的:探讨胸外科围手术期死亡的原因,以期降低围手术期死亡率。方法:对2003年1月～2010年12月的在我院治疗的38例围手术期死亡患者的临床资料进行回顾性分析。结果:本组围手术期死亡率为1.67%(38/2281),恶性肿瘤的死亡率明显高于良性病变(P<0.05),肺切除术死亡者略低于非肺切除术后者(P<0.05),主要死亡原因为呼吸循环衰竭60.51%(23/38)。结论:严格手术指征,充分处理并发病,选择恰当手术时机,术中、术后加强监护治疗,及时处理并发症,对降低手术死亡率有重要意义。Objective By studying the reasons of the death in perioperative period to decrease the opera- tive mortality. Methods Clinical data of 38 death patients had received operation from 2003 to 2010 in our hos- pital were analyzed retrospectively. Results The perioperative mortality was 1.67% （38/2 281 ）. The statistical results showed that the operative mortality of malignant tumor exceeded obviously benign lesion （ P 〈 0.05 ）, pneumonectomy was lower shghtly than non - pneumonectomy（P 〈 0. 05 ）. The most frequent reason for perio- perative death was respiratory and circulatory failure ;which rate was 60.51% （23/38）. Conclusions Mastering operative indications seriously, dealing accompaniment sufficiently, selecting reasonable operative juncture and mode, strengthening operative and postoperative ward, curing postoperative complications in time may plgy im- portant roles to decrease of operative mortality.

关 键 词：围手术期 手术 死亡率 预防 

分 类 号：R473.6[医药卫生—护理学]