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目的 探讨影响普外科非计划再手术患者预后转归的相关因素.方法 回顾性分析2014年1月至2017年5月期间上海交通大学医学院附属第九人民医院北部普外科发生的85例非计划再手术患者的临床资料,收集患者的术前基本资料、手术相关资料和术后有关资料,分析影响非计划再手术患者死亡的相关因素.结果 85例非计划再手术患者中治愈72例,死亡13例.单因素分析结果显示,发生死亡患者的年龄更大、手术时间更长,患有基础疾病、行择期手术、ASA分级高、非计划再手术前血红蛋白＜90 g/L、术后转入ICU、再手术后发生并发症及多次进行再手术患者的术后死亡率较高,其差异具有统计学意义(P＜0.05);进一步行logistic多因素回归分析显示,高龄、非计划再手术前血红蛋白＜90 g/L和再手术后发生并发症是非计划再手术患者术后死亡的独立危险因素(P＜0.05).死亡患者出院满意度明显低于治愈患者(P＜0.05).结论 高龄、非计划再手术前血红蛋白＜90 g/L和再手术后发生并发症是非计划再手术患者预后的独立影响因素.“,”Objective To explore prognostic factors of unplanned reoperation in Department of General Surgery.Methods The clinical data of 85 patients with unplanned reoperations who treated in the Northern District of the Shanghai Ninth People's Hospital from January 2014 to May 2017 were retrospectively collected.The risk factors such as preoperative basic information,surgical related information,and postoperative information for death of unplanned reoperations were analyzed.Results There were 72 cured patients and 12 deaths in the 85 patients.The univariate analysis results showed that the age was older (P＜0.05),the operative time was longer (P＜0.05) in the patients with death as compared with the cured patients;the with basic diseases,selective operation,high grade of ASA,preoperative hemoglobin ＜90 g/L,admission to ICU after unplanned reoperations,postoperative complications,and multiple reoperations were correlated with the mortality of unplanned reoperations (P＜0.05).The multivariate analysis results showed that the elderly patients,preoperative hemoglobin ＜90 g/L,and postoperative complications were the independent prognostic factors (P＜0.05).The satisfaction of patients at discharge in the death group was significantly lower than that in the survival group (P＜0.05).Conclusion Ederly patient,preoperative hemoglobin ＜90 g/L,and postoperative complications are independent prognostic factors of unplanned reoperations in Department of General Surgery.