Brinsden M D, Mercer S J, Rawlings I D
Department of Trauma and Orthopaedics, Derriford Hospital, Plymouth, Devon, PL6 8DH.
J R Nav Med Serv. 2002;88(2):65-7.
The risk of venous thromboembolism after surgery, with its associated morbidity and mortality, is an important component of obtaining informed consent for a surgical procedure. This risk of thromboembolic complications extends beyond the post-operative hospital stay; patients suffering such complications after discharge are generally not re-admitted under the care of the operating surgeon. A retrospective opening loop audit was undertaken to investigate the communication of post-operative thromboembolic complications between specialties in a large district general hospital. The operating surgeon was unaware of 87% of cases of pulmonary embolism and 20% of cases of deep vein thrombosis affecting patients in their post-operative period. The inter-specialty communication of post-operative complications is important to maintain a high standard of patient care and allow surgeons to make informed decisions about clinical practice.
手术后发生静脉血栓栓塞的风险及其相关的发病率和死亡率，是手术知情同意过程中的一个重要组成部分。这种血栓栓塞并发症的风险并不局限于术后住院期间；出院后发生此类并发症的患者一般不会再由主刀医生收治。我们进行了一项回顾性开放式环节审核，以调查一家大型地区综合医院各专科之间关于术后血栓栓塞并发症的沟通情况。主刀医生对术后发生肺栓塞的病例中有87%不知情，对发生深静脉血栓形成的病例中有20%不知情。术后并发症的跨专科沟通对于维持高标准的患者护理以及让外科医生在临床实践中做出明智决策很重要。
