神经外科非计划二次手术回顾性分析  

Retrospective analysis of unplanned secondary operations in neurosurgery

作　　者：周志男[1] 富永红 朱晓东[3] 王伟[2] 孟小娟[2] 李爽[4] 姜悦[5] Zhou Zhinan , Fu Yonghong, Zhu Xiaodong, Wang Wei, Meng Xiaojuan, Li Shuang, Jiang Yue.(Department for Disease Control and Prevention, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, Chin)

机构地区：[1]首都医科大学附属北京天坛医院疾病预防控制处,100050 [2]首都医科大学附属北京天坛医院手术室,100050 [3]首都医科大学附属北京天坛医院病案室,100050 [4]首都医科大学附属北京天坛医院信息中心,100050 [5]首都医科大学附属北京天坛医院医务处,100050

出　　处：《中华医院管理杂志》2018年第4期304-306,共3页Chinese Journal of Hospital Administration

摘　　要：目的了解神经外科非计划二次手术基本情况。方法回顾性分析2012年至2016年神经外科非计划二次手术的发生率、发生原因和发生时间，对比其与未发生非计划二次手术患者在住院时间、住院费用和预后方面的差异。采用t检验和卡方检验进行统计学分析。结果2012年至2016年，神经外科共发生非计划二次手术339例，发生率为0．65％。术后出血导致的非计划二次手术占总数的80．24％，明显高于其他原因。结论非计划二次手术加剧了患者的经济负担，需引起重视；加强神经外科围手术期出血管理，严格执行神经外科医生手术分级管理，是预防和减少神经外科非计划二次手术的重要途径。Objective To retrospectively analyze unplanned secondary surgical operations in neurosurgery. Methods The incidence, causes and time interval from the first operation of unplanned secondary operations were systematically reviewed, and the length of stay, hospitalization expenses and conditions of prognosis of the patients were compared with those who did not suffered from unplanned secondary operations. Results In this study, 339 unplanned secondary operations were confirmed from 2012 to 2016 in neurosurgery and the incidence of unplanned secondary operations was 0.65%. 80.24% of the unplanned secondary operations were incurred by postoperative bleeding, which was proved to be higher than other causes. Conclusions Unplanned secondary operations had caused more economic burdens, thus deserving close attentions. Reducing perioperative bleeding and implementing hierarchical operation management would be key to preventing and decreasing unplanned secondary operations.

关 键 词：神经外科手术 非计划二次手术 围手术期 手术分级 

分 类 号：R651[医药卫生—外科学]