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腹部外科近期再手术65例分析
引用本文:史坚强,胡敏燕,刘静,刘岚云,周景华. 腹部外科近期再手术65例分析[J]. 临床误诊误治, 2011, 24(2): 11-12
作者姓名:史坚强  胡敏燕  刘静  刘岚云  周景华
作者单位:镇江,解放军359医院外科,江苏,212001
摘    要:目的探讨腹部外科近期再手术的原因、预防及处理方法。方法对我院1989年1月~2009年1月收治的腹部外科近期再手术65例的临床资料进行回顾性分析。结果本组再手术的原因为肠梗阻20例,腹腔感染14例,腹腔内出血10例,引流管并发症8例,其他原因7例,遗留病变6例。2次手术距1次手术时间最短3 h,最长1个月,65例共手术114例次,最多者4次。本组57例治愈;死亡8例,其中死于肝肾衰竭、心肌梗死各1例,因恶性肿瘤再次手术后全身衰竭死亡6例。结论腹部外科近期再手术原因复杂,早期诊断并选择再手术的时机及有效的术后综合治疗是提高再手术效果的关键。

关 键 词:腹部  再手术  肠梗阻  腹腔  感染  出血

Analysis of 65 Cases of Recent Abdominal Reoperation
SHI Jian-qiang,HU Min-yan,LIU Jing,LIU Lan-yun,ZHOU Jing-hua. Analysis of 65 Cases of Recent Abdominal Reoperation[J]. Clinical Misdiagnosis & Mistherapy, 2011, 24(2): 11-12
Authors:SHI Jian-qiang  HU Min-yan  LIU Jing  LIU Lan-yun  ZHOU Jing-hua
Affiliation:SHI Jian-qiang,HU Min-yan,LIU Jing,LIU Lan-yun,ZHOU Jing-hua(Department of Surgery,the 359th Hospital of PLA,Zhenjiang,Jiangsu 212001,China)
Abstract:Objective To investigate the cause,prevention and treatment of recent abdominal reoperation.Methods The clinical datas of 65 patients who underwent recent abdominal reoperations in our hospital during January 1989 and January 2009 were analyzed retrospectively.Results The reoperations were due to intestinal obstruction in 20 cases,abdominal infection in 14 cases,intra-abdominal hemorrhage in 10 cases,remaining lesion in 6 cases,drainage tubes complications in 8 cases,and other causes in 7 cases.The time bet...
Keywords:Abdomen  Reoperation  Intestinal obstruction  Abdominal cavity  Infection  Bleeding  
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