Hecker W C
Kinderchirurgische Klinik, Universität München.
Z Kinderchir. 1987 Aug;42(4):205-14. doi: 10.1055/s-2008-1075586.
Causes of postoperative deaths at our clinic from 1949 to 1982 were analysed. The most important results were: the overall lethality of the patients operated on was 1.5%; in 1985, however, it was only 0.19%. Infection was with 27.7% the predominant cause of postoperative death in all patients, followed by pneumonia with 20.3% and death from the underlying disease with 18.8%. Combining the groups infection and pneumonia, it turns out that nearly one-half (48%) of the children succumbed to infectious diseases. Classification of the causes of postoperative deaths in 5 different age groups revealed that more than a half of the deaths occurred in the neonatal period and 20% still in infancy. Furthermore, particularly newborn and infants died from postoperative infection. From 1976-1982 no child beyond the 4th year of life succumbed to an infection or pneumonia. The analysis presented is based on post-mortem protocols. From 1970 on-ward post-mortem examination was performed in 80% of the children who had died.
对我院1949年至1982年术后死亡原因进行了分析。最重要的结果是：接受手术患者的总死亡率为1.5%；然而在1985年，该数字仅为0.19%。感染是所有患者术后死亡的主要原因，占27.7%，其次是肺炎，占20.3%，因基础疾病死亡占18.8%。将感染和肺炎组合并后发现，近一半（48%）的儿童死于传染病。对5个不同年龄组术后死亡原因的分类显示，超过一半的死亡发生在新生儿期，20%仍发生在婴儿期。此外，尤其是新生儿和婴儿死于术后感染。1976年至1982年，4岁以上儿童无一人死于感染或肺炎。本分析基于尸检报告。1970年以后，80%的死亡儿童进行了尸检。
