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血管手术后腹股沟感染

[Infected groin following vascular surgery].

作者信息

Leitz K H, Timm D, Borst H G

出版信息

Fortschr Med. 1975 Jan 23;93(3):127-8.

PMID:1126669
Abstract

From August 1972 to July 1973 174 vascular reconstructions in the iliac and femoro-popliteal region were performed. All infections of the groin incision were classified according to Szilagyi. 22% class I and II infections, 2% class III infections were found (3 patients). In two of these patients the bleeding was managed by the following method: The infected piece of the artery was resected. The vascular continuity was reconstructed by autologous vein. The anastomoses were burried in uninfected surrounding muscles. Both patients left the clinic with open leg arteries. Unfortunately we lost the third patient doing an extraanatomical bypass. The reasons for the high incidence of groin infections are discussed.

摘要

1972年8月至1973年7月,在髂股和股腘区域进行了174例血管重建手术。所有腹股沟切口感染均按照齐拉吉的方法进行分类。发现I级和II级感染占22%,III级感染占2%(3例患者)。其中2例患者的出血采用以下方法处理:切除感染的动脉段。用自体静脉重建血管连续性。吻合口埋入未感染的周围肌肉中。两名患者出院时腿部动脉开放。不幸的是,我们在进行解剖外旁路手术时失去了第三名患者。文中讨论了腹股沟感染高发的原因。

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