延误与误施剖腹手术原因探讨  

Discussion on the Reason of Delay and Error Application of Laparotomy

作　　者：宝森格 

机构地区：[1]通辽市中医院外科,内蒙古通辽028000

出　　处：《内蒙古民族大学学报（自然科学版）》2011年第4期471-472,共2页Journal of Inner Mongolia Minzu University：Natural Sciences

摘　　要：目的:探讨延误与误施剖腹手术的主、客观原因.方法:回顾性分析2003～2008年间71例延误与误施剖腹手术的病历资料.结果:1958例剖腹手术中,延误与误施71例,占同期剖腹手术的3.5%.其中延误手术组43例(60.56%.)误施手术组28例(39.44%.)年龄分布:延误组以儿童和老年为著,误施组以青壮年集中;延误与误施组间女性比男性多(P<0.05),不良后果无显著差异(P>0.05).结论:临床工作者遵循循证医学基础上结合腹腔急症的复杂性进行综合分析,准确判断,决定手术时机或观察治疗.Objective：To investgate the subjective and objective reasons of delay and error application of laparotomy.Methods：The medical records of 71 cases of delay and error application of laparotomy from 2003 to 2008 were retrospectively analysed.Results：In 1958 cases of laparotomy,71 cases were delay and error applied,accounted for 3.5% in the same period laparotomy.The delay group were 43 cases（60.56%,） the error operative group were 28 patients（39.44%.） Age distribution：The delay group mainly were children and elderly,error application group mainly were young adults.In the two groups women more than men（P0.05）,but there were no significant difference in adverse consequence（P0.05.） Conclusion：The clinical workers should be based on evidence-based medicine and combine with the complexity of abdominal emergency to make comprehensive analysis and accurate judgments,then decide surgery time or observation and treatment.

关 键 词：腹部急症 延误时机 误施手术 循证医学 

分 类 号：R656[医药卫生—外科学]