摘要
目的分析我院胃肠外科患者围术期死亡的高危因素,探讨降低围术期死亡率的方法。方法回顾性研究2005年1月至2010年1月收治的951例手术患者的临床资料,对其中19例围术期死亡病例的临床资料进行统计学分析。结果 951例手术患者围术期死亡率为2.0%,主要影响因素是高龄、恶性肿瘤、术前高血压及冠心病以及术后低蛋白血症、呼吸系统衰竭及肾功能不全。并且低体温、代谢性酸中毒和凝血功能障碍严重影响术后生存率。结论强化围术期患者高危因素的积极处理并结合损伤控制外科理念,对于降低死亡率具有重要的意义。
Objective To analyze the main causes of death and explore the methods to decrease the mortality of general surgery operation during perioperative period. Methods A retrospective analysis of the clinical data from 2005 to 2010 was performed in 951 patients of general surgery operation. The risk facto~ influencing perioperative mortality were statistical analyzed of 19 death cases. Results The total perioperative mortality was 2.0%. Four independent preoperative risk factors of mortality were age old than 65 yeats, malignant tumor, hypertension, coronary heart disease. Three independent risk factors of morbidity were found： hypoalbu- minemia, respiratory distress, and renal failure. The postoperative survival rate was tightly related to hypethermia, metabolic acidosis, and coagulation disorders. Conclusion Improving the perioperative management of high risks and using damage control surgery are very important for decreasing the perioperative mortality in general surgery operation.
出处
《中华普通外科学文献（电子版）》
2011年第4期52-54,共3页
Chinese Archives of General Surgery(Electronic Edition)
基金
教育部新教师基金(200805581153)
国家青年科学基金项目(81001306)
关键词
围手术期
死亡率
死亡三联症
Perioperative period
Mortality
Lethal triad of death
