国际医药卫生导报2013，Vol.19Issue(16)：2572-2575,4.DOI:10.3760/cma.j.issn.1007-1245.2013.16.048
麻醉风险与质量评估学的创立和研究
Establishment and study on anesthesia risk and quality evaluation system
肖生红 1刘先保 1詹鸿1
作者信息
- 1. 510150 广州市,广州医学院第三附属医院
- 折叠
摘要
Abstract
Objective To establish a detailed anesthesia risk and quality evaluation system for the decrease of the incidence of anesthesia accident and to establish a second-class subject of predicting anesthesia risk and anesthesia quality.Methods We collected the anesthesia cases of The Third Affiliated Hospital of Guangzhou Medical College in recent 20 years,analyzed and summarized the anesthesia risk,quality and experience for the anesthesia cases in particular the emergent,critical,severe,seldom-seen,and rescued ones.The anesthesia accidents and anesthesia complications in our hospital as well as the anesthesia lawsuit concerning claiming for compensation in Guangdong province were also analyzed.Results 106 anesthesia-induced brain death (vegetative state) cases were mainly caused by hypotension and low blood oxygen,failure in rescue for long-time cardiac arrest or inadequate anesthesia resuscitation-consciousness,75 anesthesia-induced paraplegia and cauda equina syndrome cases were mainly caused by mistaken location of intra-vertebral space in the fatter or shorter cases or violent puncturation,3 cases were dead for the mistaken medication,4 cases claimed for compensation for improper preoperative conversation,and 56 death cases were induced by operative hemorrhea and having difficulties in intubation.Conclusion Anesthesia accident and risk usually recur under the same situation,and so it is necessary to establish a detailed anesthesia risk and quality evaluation system and the second-class subject of predicting anesthesia risk and anesthesia quality for avoiding anesthesia accident.关键词
麻醉风险/麻醉质量/评估Key words
Anesthesia risk/ Anesthesia quality/ Evaluation引用本文复制引用
肖生红,刘先保,詹鸿..麻醉风险与质量评估学的创立和研究[J].国际医药卫生导报,2013,19(16):2572-2575,4.
