Status and risk factors of postoperative hemorrhage in patients undergoing surgery
10.3760/cma.j.issn.1674-2907.2018.27.008
- VernacularTitle:外科手术患者术后出血现况及危险因素研究
- Author:
Xiaoxiao WU
1
;
Huimin ZHANG
;
Linjuan XUN
;
Jingjuan CHEN
;
Ruimei SONG
;
Qing ZHAO
;
Xianliang LIU
;
Kaiyang YANG
;
Yan SHI
Author Information
1. 同济大学附属第十人民医院护理部
- Keywords:
Postoperative hemorrhage;
Bleeding incidence;
Risk factors;
Risk assessment
- From:
Chinese Journal of Modern Nursing
2018;24(27):3252-3258
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence and related factors of postoperative hemorrhage, so as to provide data support for preventing its occurrence and developing reasonable risk assessment tools. Methods The retrospective analysis of clinical data of 50 patients with postoperative hemorrhage after surgical operation in a 3A hospital in Shanghai from January to December 2016 was conducted. A 1:2 matching case-control study was conducted to explore the risk factors of postoperative bleeding in surgical patients by univariate and multivariate regression analysis.Results The total number of surgical operations (excluding obstetrics and gynecology, five senses) was 18942. Postoperative hemorrhage occurred in 50 cases, including 6 deaths. The incidence of postoperative hemorrhage was 0.26％ and the mortality rate was 12％. The incidence of postoperative bleeding in the top four departments were gastrointestinal surgery (13 cases), hepatobiliary and pancreatic surgery (11 cases), cardiac surgery (10 cases), neurosurgery (9 cases). The statistical analysis of binary Logistic in the case group and the control group showed that postoperative albumin<35g/L, postoperative AST abnormality, postoperative ALT abnormality, postoperative hypertension were independent risk factors of postoperative bleeding.Conclusions The incidence of postoperative bleeding in this hospital is relativelylow, but the mortality is relatively high. Medical staff should pay more attention to the patients undergoing gastrointestinal, liver, pancreas, heart and brain surgery. It is also necessary to pay more attention to the blood pressure, albumin and liver function of the patients after operation,and establish the evaluation of prevention of hemorrhage, which has a certain early warning effect on the prevention of postoperative hemorrhage.
