摘要
目的:归纳研究择期手术患者围手术期死亡原因,为加强围手术期管理,防治术后并发症、降低死亡率提供参考。方法:以“围手术期”“术前”“术中”“术后”“死亡”为检索词,在中国知网、万方数据库、维普数据库进行系统检索,收集资料建立围手术期死亡原因数据库,对数据进行归纳分析。结果:患者围手术期死亡率排在前三位的专科手术类型分别是心血管手术(6.26%)、关节手术(3.89%)、肝胆胰十二指肠手术(3.76%)。排在前三位的围手术期死亡原因分别是多器官功能衰竭(20.96%)、低心排综合征(18.74%)、感染(15.03%)。结论:择期手术围手术期术后严重并发症是导致患者死亡的主要原因,加强患者围手术期管理,预防并积极处理术后并发症,对减少患者围手术期死亡率具有重要意义。
Objective To summarize and study the causes of perioperative death of patients undergoing elective surgery,so as to provide reference for strengthening perioperative management,preventing postoperative complications and reducing mortality.Methods Taking“perioperative period”or“preoperative period”or“intraoperative period”or“postoperative period”and“death”as the search words,the data were systematically searched in CNKI,Wanfang academic journal database and Chinese scientific and technological journal database(VIP).The data were collected,the cause database of perioperative death was established,and the data were summarized and analyzed.Results It was found that the top three types of specialized surgery were cardiovascular surgery(6.26%),joint surgery(3.89%)and hepatobiliary surgery(3.76%).The top three causes of perioperative death were multiple organ failure(20.96%),low cardiac output(8.74%)and infection(5.03%).Conclusion The serious postoperative complications during perioperative period of elective surgery are the main cause of death.Strengthening perioperative management,preventing and actively dealing with postoperative complications are of great significance to reduce perioperative death events.
作者
彭志军
曹立幸
曾海平
蒋志
陈其城
PENG Zhijun;CAO Li-xing;ZENG Hai-ping(The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou(510405),China)
出处
《中国中西医结合外科杂志》
CAS
2022年第5期612-615,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
基金
国家区域中医(专科)诊疗中心建设专项资金资助(国中医药医政函(2018)205号广东省中医院外科)
广东省中医院临床研究专项(YN10101902)
广州中医药大学“双一流”与高水平大学学科协同创新团队项目(2021xk48)。
关键词
围手术期
死亡原因
文献分析
perioperative period
cause of death
document analysis
