协和医学杂志

2019, v.10(04) 313-316

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重视手术并发症的发生及预防
Attach Importance to the Occurrence and Prevention of Surgical Complications

王维斌;何小东;
WANG Wei-bin;HE Xiao-dong;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

摘要(Abstract):

外科手术学的发展史在一定程度上是外科医生与手术并发症博弈的历史,从最初的无菌术、麻醉学到抗生素的发明,显著降低了手术并发症的发生率,使现代医学的外科手术实现了从"高死亡率"向"高成功率"的蜕变。医疗层面,医学技术的进步、手术治疗策略和治疗理念的更新在降低手术并发症方面起到了关键作用;教育层面,"三基三严"的住院医师规范化培训制度不仅是成为优秀外科医生的重要基石,也是手术质量和患者安全的重要保证;管理层面,借助综合交叉学科优势形成的"多学科诊疗模式"、医疗安全制度的建立以及手术流程的优化等有效降低了手术并发症的发生率。外科医生要始终高度重视手术并发症的发生和预防,将关口前移,以预防为主,努力将外科手术并发症的发生率降至更低水平。
The history of surgery is,to a certain extent,a history of the game between surgeons and surgical complications. The initial invention of aseptic techniques,anesthesiology,and antibiotics significantly reduced the incidence of surgical complications,which made modern surgery completed the conversion from"high mortality"to "high success rate". From a medical point of view,advances in medical technology,surgical treatment strategies,and treatment concepts have played a key role in reducing surgical complications. In terms of education,the standardized training system for residents,i. e. the "Three Basics and Three Restrictions",is not only an important cornerstone for becoming an excellent surgeon,but also an important guarantee for the quality of surgery and patient safety. From the perspective of management,the concept of "multidisciplinary team",the establishment of a medical safety system,and optimization of surgical procedures effectively reduce the incidence of surgical complications. In short,our surgeons must always attach great importance to the occurrence and prevention of surgical complications. Change our minds,lay emphasis on prevention,and strive to reduce the incidence of surgical complications to a lower level.

关键词(KeyWords): 外科;手术学;并发症
surgery;operative surgery;complications

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作者(Author): 王维斌;何小东;
WANG Wei-bin;HE Xiao-dong;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

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