Bielecki Krzysztof, Rud Piotr Michał
Samodzielny Publiczny Szpital Kliniczny, Klinika Chirurgii Ogólnej i Przewodu Pokarmowego Centrum Medycznego Kształcenia Podyplomowego w Warszawie.
Pol Merkur Lekarski. 2006 Apr;20(118):413-5.
Definitive cure of the disease is the essential aim of surgical proceeding. However in some patients who are operated on, unwanted events happen, which make complete recovery delayed or even impossible. These events are known as surgical complications.
Presentation of quantitive and qualitative analysis of surgical complications registered in one year of surgical practice of Department of General Surgery, Orlowski Hospital, Warsaw.
In the period between 1.01 and 31.12.2004 we operated on 1384 patients. Complications were registered prospectively, during monthly analysis of patients' medical records.
From the number of 1384 patients operated on, 132 patients developed 141 complications (10.2% complication rate in 9.5% patients).
The number of surgical complications reported by other authors differs. This can be explained by differences in methodology of collecting data of complications between the studies. Registering of postoperative morbidity is an important issue in surgical practice. Analysis of complications can lead to improvement in quality of surgical care and health-care management. Introduction of unified system of registration of postoperative complications in all surgical wards would allow making an objective ranking of surgical wards on a given area.
疾病的根治是外科手术的根本目标。然而，在一些接受手术的患者中，会发生不良事件，这使得完全康复延迟甚至无法实现。这些事件被称为手术并发症。
对华沙奥尔洛夫斯基医院普通外科一年手术实践中记录的手术并发症进行定量和定性分析。
在2004年1月1日至12月31日期间，我们对1384例患者进行了手术。并发症是在每月对患者病历进行分析时前瞻性记录的。
在1384例接受手术的患者中，132例患者出现了141例并发症（9.5%的患者并发症发生率为10.2%）。
其他作者报告的手术并发症数量有所不同。这可以通过研究之间收集并发症数据方法的差异来解释。术后发病率的记录是外科手术实践中的一个重要问题。并发症分析可以提高外科护理和医疗管理的质量。在所有外科病房引入统一的术后并发症登记系统将有助于在特定区域对外科病房进行客观排名。
