摘要
目的探讨降低坏疽或穿孔型阑尾炎术后切口感染的方法。方法回顾性分析东莞市麻涌医院2004年1月至2012年12月248例坏疽或穿孔型阑尾炎手术患者的临床资料,均采取确诊后尽早手术、合理使用抗生素、避免切口污染、进行切口冲洗等措施预防切口感染。结果 248例患者术后出现切口感染4例,切口感染率为1.61%,平均住院时间为18 d。244例患者无切口感染及其他并发症发生,平均住院时间为7.8 d。248例患者均痊愈出院。结论在治疗坏疽或穿孔型阑尾炎时,只要做到尽早诊断及手术、合理使用抗生素、术中避免切口污染、进行切口冲洗均可有效地降低切口感染。
Objective To investigate the methods for gangrenous or perforated appendicitis. Methods to reduce incision infection after appendectomy Clinical data of 248 patients who underwent appendectomy for gangrenous or perforated appendicitis in machong hospital from January 2004 to December 2012 were retrospectively analyzed. Measures including performing operation as soon as possible, rational use of antibiotics, avoiding incision out to prevent the incision infection. Results Among contamination and incision irrigation were carried the 248 patients, incision infection occurred in 4 （1.61%）. No incision infection and other complications occurred in other 244 patients. The average hospital stay was 18 days for patients with incision infection and 7.8 days for patients without incision infection. All patients were cured and discharged from hospital. Conclusion Early diagnosis and operation, rational use of antibiotics, avoiding incision contamination and incision irrigation can effectively reduce incision infection in patients with gangrenous or perforated appendicitis.
出处
《实用临床医学（江西）》
CAS
2013年第6期49-51,共3页
Practical Clinical Medicine
关键词
坏疽型阑尾炎
穿孔型阑尾炎
切口感染
应用体会
gangrenous appendicitis
perforated appendicitis
incision infection
application expelSence
