胸外科疾病手术多数需要书写术前小结,是胸外科医师的常规医疗工作之一。术前小结书写及质量培训应在住院医师规范化培训中进行,是培训胸外科医师严谨工作作风的路径组成项目。依胸外科疾病及手术分级的特点,书写术前小结是必要的,而保证术前小结书写的质量是各级医师应关注的内容。术前小结是手术病案中重要的组成项目之一,与其他项目组成完整的手术病案。术前小结的书写可以达到训练手术医师术前有针对性的准备,术中手术过程的不断熟知,清晰解剖避免出现副损伤及一旦出现时的应急、准确的处置方法。注意观察术后第1、2、3个24小时中可能出现的并发症及快捷、准确、有效的处理。术前小结多次、重复的书写可以培养手术医师对手术疾病、手术方式、围手术期的认知度,每一位胸外科医师都有责任保证术前小结的书写质量。 Thoracic Surgery The majority of surgical procedures require writing preoperative summary, which is one of the routine medical work of thoracic surgeons. Preoperative summary of writing and quality training should be carried out in the standardized training of residents, thoracic surgeons training is the path of rigorous work style components. According to the characteristics of thoracic surgical diseases and surgical grading, writing preoperative summary is necessary, and ensuring the quality of preoperative summary writing is the physician at all levels should pay attention to the content. The preoperative summary is one of the important components in the surgical case, which forms a complete case with other items. Preoperative summary of the writing can reach the training surgeon preoperative targeted preparation, intraoperative surgical procedures are well-known, clear anatomy to avoid the occurrence of side effects and emergency, accurate treatment. Attention should be paid to observe the possible complications in the 1st, 2nd and 24th hour after operation and the quick, accurate and effective treatment. Multiple preoperative summary, repeated writing can cultivate the surgeon awareness of surgical diseases, surgical methods, perioperative period, every thoracic surgeon has a responsibility to ensure the quality of the preoperative summary of the writing.