贾树旺

[摘要]目的 探讨腹部手术后早期急诊再手术的原因及防范措施。方法 随机选取2011年1月—2014年12月在该院治疗的腹部手术后早期急诊再手术患者60例，回顾性分析患者临床资料，并分析再手术原因、方法及注意事项，并总结腹部手术后早期急诊再手术的有效防范、减少并发症的措施。结果 研究纳入60例腹部手术后再手术者，20例腹腔内感染、15例切口开裂、15例肠梗阻、6例腹腔内出血及4例消化道出血；37例为首次上腹部手术、23例为下腹部手术；治愈56例，死亡4例，治愈率93.3%，11例再手术后出现并发症。结论 腹部手术后急诊再手术效果明显，但并发症发生率高，所以需做好首次手术，降低早期急诊再手术率。

[关键词]腹部手术；急诊；再手术；并发症

[中图分类号]R656 [文献标识码]A [文章编号]1674-0742（2015）04（b）-0062-02

Clinical Analysis of Early Emergency Reoperation After Abdominal Operation

JIA Shuwang

Department of general surgery， The second People's Hospital of Lianyungang City，Jiangsu Province，222000 China

[Abstract] Objective To investigate the causes and preventive measures of early emergency reoperation after abdominal operation.Methods Randomly selected 60 who were treated through early emergency reoperation after abdominal operation from January 2011 to December 2014.Retrospectively analysised the clinical data of the patients，and analysised the causes of reoperation，method and matters needing attention，to summarize the early emergency reoperation after abdominal operation measures of reducing the complication and effectively guard against.Results In 60 patients，20 cases were abdominal infection， 15 cases were incision cracking， 15 cases were intestinal obstruction， six cases were abdominal bleeding and four cases were gastrointestinal bleeding；37 cases were the first time to underwent upper abdominal operation，and 23 cases for lower abdominal surgery； cured 56 cases，4 deaths，the cure rate was 93.3%，and 11 cases of complications after surgery again.Conclusion The effect of early emergency reoperation after abdominal operation is obvious， but the complication occurrence rate is high， so surgery should be done well for the first time，to reduce the early emergency reoperation rate.

[Key words]Abdominal surgery；Emergency； Reoperation；Complications

腹部手术后急诊早期再手术属于严重的并发症之一，发生率较高，且一些患者可能经过数次手术方可痊愈。早期急诊再手术的原因复杂，手术难度大，加上再手术时，患者的身体尚未完全恢复，所以再手术的死亡率、并发症发生率均较高[1]。该研究选取2011年1月—2014年12月间该院纳入腹部手术早期急诊再手术患者60例为研究对象，探讨再手术的原因及防范，现报道如下。

1 资料与方法

1.1 一般资料

随机选取在该院治疗的腹部手术后早期急诊再手术患者50例，同期共行腹部手术4 423例，再手术率为1.13%，男性38例，女性22例，年龄4个月～76岁，平均年龄（54.3±2.5）岁。

1.2 方法

回顾性分析60例患者的临床资料，分析总结初次手术类型、再手术原因、手术间隔时间、次数，以及再手术后并发症情况、预后等，并统计分析再手术原因[2]。……