腹部外科手术中医源性血管损伤的发生率有增无减,其主要原因有病人疾病因素,也有医生的经验、水平、能力等因素。从正确思维及积极态度角度,后者更为主要。医源性血管损伤常始料未及,但在不同的团队、不同的医生手中,结果可能截然不同。损伤一旦发生,如处理不当、不及时,后果严重。因此,如何预防及处理至关重要,尤其相关的一些基本原则,时刻都不能忘记。
During abdominal operation, the incidence of iatrogenic vascular injury is increasing recently. The main reasons for that consist of complicated lesion of the patients and surgeons’respects concerning their experience and ability to deal with unusual condition. For the sake of correct thinking and positive manner, the latter is much more important. Generally speaking, the injury is often adverse event to be unexpected. However, the same condition will possibly have quite different results between different surgical teams and surgeons. Modality is not appropriate and in time, the mortality and morbidity could increase dramatically so much so that the general condition of the patient may deteriorate critically. Therefore it is essentially necessary to mention some basic regulations and principles in order to prevent and deal with the serious adverse event.