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1973～1978年我县共做输卵管结扎术9,251例,据几次随访和计划生育门诊的资料统计,共发生并发症38例。为了提高手术质量,杜绝差错事故,我们对此38例进行了总结分析,以便从中吸取经验教训。一、肠管损伤5例原因:4例是切腹膜时损伤,1例是初学者用镊子夹破。处理:4例及时发现,即请有经验医生协助修补,术后迅速恢复健康出院(3例输液1天,1例禁食1餐,未输液);另1例术后3天出现弥漫性腹膜炎,经外科会诊转县医院剖腹探查,术中见回肠有O.5×O.5厘米大的穿孔,穿孔旁有脱落的黑色丝线结扎圈,腹腔吸
From 1973 to 1978, a total of 9,251 cases of tubal ligation were performed in our county. According to the statistics of several visits and family planning clinics, 38 cases of complications occurred. In order to improve the quality of surgery and eliminate errors, we conducted a summary analysis of 38 cases in order to learn from the lessons learned. First, the bowel injury in 5 cases Reasons: 4 cases cut peritoneal injury, 1 case is a beginner tweezers folder broken. Treatment: 4 cases found in time, that is, please have an experienced doctor to help repair, postoperative recovery quickly and healthily (3 cases of infusion 1 day, 1 case of fasting 1 meal, no infusion); the other 1 case after 3 days of diffuse peritonitis , The surgical consultation go to the county hospital laparotomy, intraoperative see ileum O.5 × O.5 cm large perforation, perforation off the black silk ligation circle, abdominal suction