腹腔镜胆囊切除术围手术期死亡原因的分析及对策
胆囊切除术,腹腔镜;围手术期；死亡原因,,胆囊切除术,腹腔镜;围手术期；死亡原因,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考文献
【摘要】 目的：分析腹腔镜胆囊切除术(LC)围手术期非手术并发症死亡原因,探讨降低LC围手术期病死率的对策。方法：回顾分析3 543例LC 5例非手术并发症死亡患者的术前、术中情况,手术后处理以及死亡原因等。结果：本组LC围手术期非手术因素死亡5例,其中2例死于急性心肌梗死，1例死于脑梗死，1例死于严重心律失常,1例疑死于急性肺栓塞,均死于非手术并发症。结论：在重视避免手术严重并发症的同时，需重视术前对患者重要脏器功能及全身情况的合理评估和改善,减少手术过程对重要脏器的影响,加强术后重要脏器功能的监测，这对降低LC围手术期病死率有重要意义。【关键词】 胆囊切除术,腹腔镜;围手术期；死亡原因
Analysis and countermeasure about peroperative period death in laparoscopic cholecystectomy
DU Lixue,ZHANG Yu,SUN Zhongjie.
Dept. of Hepatobiliary Surgery of Shanxi Provincial People's Hospital,Xi'an 710068,China
【Abstract】 Objective:To analyze the causes of nonoperation death in laparoscopic cholecystectomy(LC),and discuss the countermeasure to decrease the fatality rate in LC.Methods:The factors such as the preoperative and intraoperative condition of patients,the postoperative treatment,and the causes of 5 death cases in 3 543 cases with LC were analyzed.Results:Of the 5 cases,2 cases died of acute myocardial infarction,1 case died of cerebral infarction,1 case died of severe arrhythmia and 1 case died of acute pulmonary embolism.They all dead of complication resulted from nonoperative factors.Conclusions:Evaluated and improved the function of important organs before the operation,and decreased the affection to the important organs in the operation and increased the monitor of the important organs after the operation are important to decrease the fatality rate of LC. ......
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