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目的：对肝胆外科护理风险管理进行探讨。方法：对我院肝胆外科收治的44例肝胆疾病患者进行护理，并对肝胆外科护理的风险进行分析，根据分析结果采取有针对性的管理方法。结果：在护理过程中，胆囊炎患者护理安全不良事件降低27.27%，胆囊结石患者护理安全不良事件降低11.11%，胆管结石胆管炎患者护理安全不良事件降低28.57%，肝癌患者护理安全不良事件降低33.33%，胆管癌患者和胆囊癌患者没有发现变化。护理过程中出现风险的原因主要有肝胆类疾病本身的风险性、护理人员的护理水平和心理因素和管理因素，肝胆外科护理风险的防范措施主要有完善管理机制、提高护士的风险意识和心理素质和加强护理知识和技能的培训。结论：肝胆外科护理存在一定的风险，通过对存在的风险进行分析，找出风险因素，并进行有针对性的防范，能够使肝胆外科护理过程中患者发生护理安全不良事件的概率降低，在临床上具有非常重要的意义。
Objective: To explore the risk management of hepatobiliary surgery. Methods: Forty - four patients with hepatobiliary disease admitted to our hospital for hepatobiliary surgery were enrolled. The risk of hepatobiliary surgery was analyzed. According to the results of the analysis, a targeted management method was adopted. Results: In the course of nursing, the safety of patients with cholecystitis decreased by 27.27%, the safety of patients with gallstones decreased by 11.11%, the safety of patients with biliary calculi cholangitis decreased by 28.57%, the safety of patients with liver cancer decreased by 33.33% %, No change was found in cholangiocarcinoma patients and gallbladder cancer patients. The main causes of risk in nursing process are the risk of hepatobiliary disease itself, nursing level and psychological factors and management factors of nursing staff, prevention measures of hepatobiliary and surgical risk management, which include perfect management mechanism, improving nurses' risk awareness and psychological quality And training in strengthening nursing knowledge and skills. Conclusion: There is a certain risk in the nursing of hepatobiliary surgery. By analyzing the existing risks, finding out the risk factors and carrying out targeted prevention, the probability of adverse events of nursing care in patients with hepatobiliary surgery can be reduced. In the clinical Has a very important significance.