【摘要】 目的 总结腹腔早期再手术的原因及减少腹腔早期再手术率。方法 回顾青海油田职工总医院自1990年10月至2011年12月腹腔手术共6800例，早期再手术44例临床资料总结分析。结果 44例行早期再手术，共50次:一次再手术44例，二次再手术6例。各脏器早期再手术率依次为：结直肠、小肠、胃胰腺、肝胆。早期再手术病因依次为：腹腔脓肿、切口裂开、肠梗阻、肠瘘、胆漏，死亡6例。结论 避免首诊时间过长，防止误诊、漏诊，加强围手术期综合处理，在消化道重建时遵守“No suture in pus”的原则，是降低腹腔早期再手术的重要措施。

    【关键词】 腹腔；早期；再手术

    Celiac earlyoperation again 44 cases of summary analysis

    ZHANG Wen-Xiu CAI De-Gang Gansu dunhuang seven town qinghai oilfield worker total hospital outside a division (736202)

    【Abstract】 Objective to summarize the celiac early operation again the reasons and reduce abdominal early reoperation rates. Methods a retrospective review of qinghai oilfield worker total hospital since October 1990 until 2010 October laparoscopic surgery altogether 6,800 example, early operation again 44 cases of clinical data analyses. Results 44 routine early operation again, a total of 50 times: once again the operation of 44 cases, second operation again in 6 cases. Each viscera early reoperation rates is as follows: the colorectal, small intestine stomach, liver, pancreas. Early operation again etiology is as follows: the abdominal abscess, incision burst and the obstruction, intestinal fistula, pylethrombosis, death in 6 cases. Conclusion to avoid the primary survey time is too long, to prevent misdiagnosis, capsulorrhaphy, strengthen perioperative comprehensive treatment, in the digestive tract rebuilt comply with "No suture in pus" principle, is to reduce abdominal early operation again the important measures. ......