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[腹腔内遗留异物的原因及该并发症的预防]

[The reasons for leaving foreign bodies in the abdominal cavity and the prevention of this complication].

作者信息

Subbotin V M, Davidov M I

出版信息

Vestn Khir Im I I Grek. 1998;157(4):79-84.

PMID:9825446
Abstract

An investigation performed in 38 surgical and obstetrics-gynecology departments has established that during 20 years foreign bodies were forgotten in the abdominal cavity of 46 patients which makes up 0.03% of all laparotomies. In 30 patients they were forgotten in emergency operations and in 16 patients in elective operations. Among the victims there were 31 women. The textile foreign bodies such as gauze pads, tampons, towels were left most often (35 things), forgotten surgical instruments and other things were less frequent. The foreign bodies stayed in the abdominal cavity during the period from 6 hours till 15 years and in 26.1% of the patients they resulted in lethal outcomes. The main causes of accidental leaving the foreign bodies in the abdominal cavity during operative interventions are analyzed in detail. Means of prevention of such neglect of surgeons are proposed.

摘要

对38个外科和妇产科科室进行的一项调查表明,在20年期间,有46名患者的腹腔内遗留了异物,占所有剖腹手术的0.03%。其中30名患者的异物是在急诊手术中遗留的,16名患者的异物是在择期手术中遗留的。受害者中有31名女性。最常遗留的纺织类异物如纱布垫、棉球、毛巾(共35件),遗留手术器械和其他物品的情况较少见。异物在腹腔内停留的时间从6小时至15年不等,26.1%的患者因此导致死亡。详细分析了手术干预期间异物意外遗留在腹腔内的主要原因。提出了防止外科医生出现此类疏忽的方法。

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