病案是医疗活动真实的历史记载,是法定的医学文件,具有法律效力。写好外科围手术期的病历,是杜绝因病案记录存在缺陷引发医疗纠纷的关键,是外科病历管理的重要内容。 The medical record is the true historical record of medical activities. It is a statutory medical document and has legal effect. Writing a medical record for the perioperative period is the key to preventing medical disputes caused by the flaws in the medical records, and is an important part of the management of surgical records.