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[目的]探讨非计划再次手术的原因及影响因素。[方法]提取2011~2015年医疗统计系统资料,对10个手术科室发生的非计划再次手术病例进行分析。[结果]2011~2015年全院10个手术科室共开展手术60 005例,发生非计划再次手术95例,发生率0.15%。术后出血、吻合口瘘、副损伤是发生非计划再次手术的主要原因。[结论]非计划再次手术与患者病情、病种及术者专业水平、操作技术有关。因此,建立可操作的动态管理和质控制度及措施,降低非计划再次手术的发生势在必行。
[Objective] To investigate the causes and influencing factors of unplanned reoperation. [Method] The data of medical statistics system from 2011 to 2015 were extracted and the unplanned reoperation cases in 10 surgical departments were analyzed. [Results] From 2011 to 2015, 60 005 surgeries were performed in 10 surgical departments of the hospital, 95 cases of unplanned reoperation occurred, the incidence rate was 0.15%. Postoperative bleeding, anastomotic fistula, deputy injury is the main reason for unplanned reoperation. [Conclusion] The unplanned reoperation is related to the patient’s condition, disease type and professional level of surgeon and operation technique. Therefore, the establishment of operational dynamic management and quality control systems and measures to reduce the occurrence of unplanned reoperation is imperative.