手术并发症
1.Surgeon may be blamed more than other speciality for bad results, but then,they are admired, praised, even adored, for good ones.
—— Joan Cassell
【译文】与其他专业相比，外科医生可能会因为不好的结果而受到更多的指责，但他们也会因为良好的结果而受到钦佩、赞扬，甚至崇拜。
2.If you want a disaster of severe gravity——just try the wrong side or the wrong body cavity.
—— Francis D.Moore, 1913——2001
【译文】如果你想制造一个严重的灾难——那就试试搞错左右或进错体腔吧。
3.In surgery what is alleged to be a "piece of cake" may become a sponge cake saturated with blood.
—— Moshe Schein
【译文】手术中，所谓的“小菜一碟”可能就会变成为一块饱含“鲜血”的蛋糕。
4.Everything in surgery is patient selection——the chief determinant of mortality and morbidity.
【译文】外科手术的一切都是患者的选择——这是并发症和死亡率的主要决定因素。
5.（As to schadenfreude）: The thrill of avoiding a complication that has befallen a colleague insures that your patient will experience the same complication within two weeks.
—— Leo A.Gordon
【译文】（说到幸灾乐祸）:因躲过同事所遭遇的并发症而窃喜者，他的患者必将会在两周内上演同样的悲剧。
6.Somebody's leak is a curiosity —— one's own leak is a calamity.
—— Moshe Schein
【译文】别人的瘘你觉得新奇——自己的患者瘘了感觉大难临头。
7.An ounce of prevention is worth a pound of cure.
【译文】一分防胜过十分治。
8.It is easier to stay out of trouble than to get out of it.
【译文】远离麻烦好过设法从麻烦中脱身。
9.The number of iatrogenic diseases scattered around is approaching that of the natural ones.
—— Moshe Schein
【译文】分散在各地的医源性疾病的数量正在逼近自然疾病数量。
10.More is missed by not looking than not knowing.
—— Thomas Mc Crae, 1870——1935
【译文】更多的疏漏都只因少看了一眼，而不是不懂。
11.Those patients seen on rounds do not need to be seen on rounds, Those patients missed on rounds have manifestations of an early surgical complication that could be detected on rounds.
—— Leo A.Gordon
【译文】查房时不需要看的患者都看了，而那些能在查房中发现的具有早期手术并发症表现的患者却被忽略了。
12.With sudden postoperative collapse, the cause is much more likely to be a surgical complication than "medical ".
—— Ivor Lewis, 1895——1982
【译文】手术后病情突然恶化多源于手术并发症，而不会是“内科问题”。
13.Look for pneumonia inside the abdomen.
【译文】到患者肚子里去找肺炎。
【点评】一般人读不懂这句话。但这是一句“金玉良言”。说的是外科医生们不愿意承认他们的手术后患者发生了“腹膜炎”，甚至引发了“脓毒血症”，将术后一切不顺利的恢复都归咎于“讨厌的肺炎”。因此，奉劝外科医生应该到患者肚子里去找恢复不顺利的原因。还有这样一句类似的说法：“Search for a pneumonia in a wound.”也是提醒我们当你遇到莫名其妙的手术后患者发烧，一定要先看看是否有伤口感染化脓。
14.Minor complication is one that happens to somebody else.(https://www.daowen.com)
【译文】发生在其他人身上的才是小并发症。
15.The source of most complications is in the operating room.
【译文】多数并发症来源于手术室。
16.The formula for Morbidity & Mortality in emergency surgery is simple:M&M=acute physiological status of the patient + underlying chronic status +magnitude of surgery.
—— Moshe Schein
【译文】急诊手术并发症和死亡率的公式很简单，即并发症和死亡率 =急性病理生理状况+慢性病背景+手术大小。
17.Good surgeons operate well; great surgeons know how to manage their own complications.
【译文】手术做得漂亮是优秀的外科医生，知道如何处理他自己并发症的是伟大的外科医生。
18.If you create an albatross you live with it.
【译文】自己拉的屎自己擦干净。
19.Use the knife and the cautery to cure the intumescence and moral necrosis which you will feel in the posterior parietal region … of selfesteem…after you have made a mistake in diagnosis.
—— William Osler, 1849——1919
【译文】每当发生诊断错误后……真恨不得用刀和电刀割掉大脑里那因自负而过分膨胀、道德败坏的后顶叶区。
20.This patient is FUBAR, which means: fouled up beyond any recognition.
—— Angus Maciver
【译文】“这个患者已经FUBAR了”的意思就是说这患者被搞得面目全非、弄得一团糟了。
21.Do not congratulate yourself for saving a patient from a trouble inflicted by you.
【译文】不要因为把患者从自己造成的麻烦中拯救了出来而沾沾自喜。
22.The one who does not operate does not have complications.
【译文】不做手术的人就不会有并发症。
23.No matter what you do, the number of complications will be double if a patient or his spouse is either a physician or a nurse.
【译文】无论你做什么，如果患者或他的配偶是医生或护士，并发症的发生一定翻倍。
【点评】原来这一莫名其妙的魔咒是不分国界的！
24.Operating on doctors 'families：a big compliment with most complications.
【译文】为医生的家属做手术：给你一个大大的恭喜，可能有最多并发症。
25.Surgical complications are more likely on public holidays.
【译文】手术并发症更多发生在公众假期。
26.The old surgeon … knows that the mortality published as two percent, at best, is such only in the hands of the most experienced operators, and finally most likely the statistics are wrong.
—— Arthur E.Hertzler, 1870——1946
【译文】老外科医生知道……若报道2%的死亡率，充其量只在最有经验的术者手中是这样，并且最后还可能是数据有误。
【点评】难道我们外科医生说话那么不可信吗？！
27.The rule of "2": when you hear a surgeon telling hid number of performed cases, divide it by two.When he tells about his complication rate, multiply it by two.
—— Rick Paul
【译文】“2”法则：外科医生告诉你他手术的病例数时，除以2。而说他的并发症发生率时，乘以2。
28.Oh yeh, I forgot.None of us, of course, ever has any complication with whatever operation we perform.And if we do have complications they occur much less frequently anyway than those of others, and are never serious.And if they serious, of course, they are not life threatening.And if they are life threatening,we never had a patient die from it.And if a patient does die from a complication it always is resident who is the guilty person.
—— David Ligtenstein
【译文】（关于手术并发症，外科医生经常会如是说）：喔，忘说了，我们当中的任何人，无论做什么手术都不会有任何并发症。即使有，也比其他同行们少得多，而且从来不严重。如果真有些严重的，那也不会危及生命。就算是危及生命，也不会死人。退一万步讲就算有患者死于并发症，那也总是那住院医生的错。