CAJ | 학술논문

目的：探讨定义非预期再手术及其计算方式，统计发生非预期再手术原因，为提高手术质量，保证手术患者诊疗安全提供依据。方法对某三级甲等传染病医院2013年因手术并发症导致二次手术患者进行回顾性分析。结果2013年该院共开展手术2074例，非预期再次手术20例，发生率为0．96％，发生非预期再手术的原因主要为术后出血、切口问题、消化道瘘。结论非预期再次手术定义尚不明确，建议因病情评估不足及因手术未达到预期效果的二次手术也应计算在内，多次发生非预期再手术应重复计算。非预期再次手术的发生与患者病情、手术类型、患者术前整体评估有关，应加强术前讨论及术前评估的监控管理。
목적：탐토정의비예기재수술급기계산방식，통계발생비예기재수술원인，위제고수술질량，보증수술환자진료안전제공의거。방법대모삼급갑등전염병의원2013년인수술병발증도치이차수술환자진행회고성분석。결과2013년해원공개전수술2074례，비예기재차수술20례，발생솔위0．96％，발생비예기재수술적원인주요위술후출혈、절구문제、소화도루。결론비예기재차수술정의상불명학，건의인병정평고불족급인수술미체도예기효과적이차수술야응계산재내，다차발생비예기재수술응중복계산。비예기재차수술적발생여환자병정、수술류형、환자술전정체평고유관，응가강술전토론급술전평고적감공관리。
Objective To define and calculate the unexpected reoperation , and analyze the cause of unex-pected reoperation.To provide evidences for improving the operation quality and ensuring the safety of surgery pa -tients.Method Retrospective analysis used on the patients who suffered secondary surgery due to surgical compli -cations in 2013 of certain third -level grade -A infectious disease hospital.Result In 2013, 2074 surgery cases were carried out in this hospital , and 20 of them were unexpected reoperation , the incidence rate was 0.96%.The main causes of unexpected reoperation include postoperative bleeding , wound problems and digestive tract fistula . Conclusion The definition of unexpected reoperation was not clear , we suggested that the second surgery which was due to disease evaluation not enough or the first time surgery did not achieve the desired effect should be in -cluded.At the same time, repeatedly unexpected reoperation should also be repeated calculation .Unexpected reo-peration was related to the patient ’s condition, type of surgery, preoperative evaluation.The monitoring manage-ment should be strengthen of preoperative discussion and preoperative assessment .