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目的探讨腹部手术后短期再手术患者的原因、预防及手术时机、手术原则、手术方法、影响预后的因素。方法回顾性分析洛阳市第一人民医院外科1998年1月—2011年1月期间腹部手术后短期再次手术的30例患者的临床资料。结果腹部手术后短期再手术在临床上并不少见。本组22例治愈,死亡8例。主要死因为再手术后严重感染、休克及多器官功能障碍综合征(MODS)。结论掌握外科基本功、遵循外科基本原则、剖腹手术时坚持全面探查、正确掌握手术操作技术、加强理论学习、提高首次腹部手术质量,是减少再手术的关键。如果腹部手术后出现急腹症要及时掌握再手术时机提高再手术成功率。
Objective To investigate the causes, prevention and the timing of surgery, surgical principles, surgical methods and prognostic factors in short-term reoperation after abdominal surgery. Methods The clinical data of 30 patients who underwent reoperation shortly after abdominal surgery between January 1998 and January 2011 in Luoyang First People’s Hospital were retrospectively analyzed. Results Short-term reoperation after abdominal surgery is not uncommon in clinic. The group of 22 patients were cured, 8 died. The main cause of death is severe infection after reoperation, shock and multiple organ dysfunction syndrome (MODS). Conclusion To master the basic skills of surgery and follow the basic principles of surgery, laparotomy surgery adhere to a comprehensive exploration of the correct grasp of surgical techniques to enhance theoretical study and improve the quality of the first abdominal surgery is to reduce the key to reoperation. If abdominal surgery after acute abdomen to promptly grasp the timing of reoperation to improve the success rate of reoperation.