Investigation of mortality in general surgery operation during perioperative period

doi:10.3877/cma.j.issn.1674-0793.2011.04.021

Abstract

Abstract:

Objective

To analyze the main causes of death and explore the methods to decrease the mortality of general surgery operation during perioperative period.

Methods

A retrospective analysis of the clinical data from 2005 to 2010 was performed in 951 patients of general surgery operation. The risk factors influencing perioperative mortality were statistical analyzed of 19 death cases.

Results

The total perioperative mortality was 2.0%. Four independent preoperative risk factors of mortality were age old than 65 years, malignant tumor, hypertension, coronary heart disease. Three independent risk factors of morbidity were found: hypoalbuminemia, respiratory distress, and renal failure. The postoperative survival rate was tightly related to hypothermia, metabolic acidosis, and coagulation disorders.

Conclusion

Improving the perioperative management of high risks and using damage control surgery are very important for decreasing the perioperative mortality in general surgery operation.

Key words: Perioperative period, Mortality, Lethal triad of death

Lu LIU, Wei LAI, Wei-yan LIU, Heng WU, Yu-jie ZENG, Jun ZHOU, Shang CHEN, Zhong-hua CHU. Investigation of mortality in general surgery operation during perioperative period[J]. Chinese Archives of General Surgery(Electronic Edition), 2011, 05(04): 347-350.

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Figures/Tables 2

References 12

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项目		例数	死亡例数	P值
年龄		?	?	?
?	≥65岁	312	15	<0.01
?	<65岁	639	4	?
性别		?	?	?
?	男	532	11	?
?	女	419	8	?
恶性肿瘤		323	15	<0.01
合并症		?	?	?
?	高血压	133	11	<0.01
?	冠心病/心肌缺血	65	7	<0.05
?	糖尿病	117	7	?
?	慢性支气管炎/肺气肿病史	13	1	?

项目		例数	死亡例数	P值
年龄		?	?	?
?	≥65岁	312	15	<0.01
?	<65岁	639	4	?
性别		?	?	?
?	男	532	11	?
?	女	419	8	?
恶性肿瘤		323	15	<0.01
合并症		?	?	?
?	高血压	133	11	<0.01
?	冠心病/心肌缺血	65	7	<0.05
?	糖尿病	117	7	?
?	慢性支气管炎/肺气肿病史	13	1	?

并发症	例数	死亡例数	P值
低蛋白血症	261	12	<0.01
急性肾功能不全	12	8	<0.01
呼吸衰竭	13	4	<0.01
低血容量性休克	122	6	?
肺部感染	130	6	?
心功能不全	98	5	?

并发症	例数	死亡例数	P值
低蛋白血症	261	12	<0.01
急性肾功能不全	12	8	<0.01
呼吸衰竭	13	4	<0.01
低血容量性休克	122	6	?
肺部感染	130	6	?
心功能不全	98	5	?

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