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[动脉粥样硬化所致下肢缺血手术治疗后的化脓性病变]

[Suppurating lesions following surgical treatment of lower limb ischemia due to atherosclerosis].

作者信息

Witkiewicz W, Leśniak S, Czerchawski L, Gnus J

机构信息

Oddziału Chirurgii Ogólnej i Naczyniowej Wojewódzkiego Szpitala Specjalistycznego we Wrocławiu.

出版信息

Pol Tyg Lek. 1992;47(18-19):398-401.

PMID:1409051
Abstract

Patients with suppurative lesions complicating surgical reconstruction of the arteries have been analysed. Such complications have been noted in 110 (102 men and 8 women) out of 311 operated patients. Considering the difference in the number of male and female patients, the risk of suppurative lesions complicating vascular surgery is proportional in both sexes. Thousand three hundred sixty six surgeries included: 361 recanalizations, 944 transplantations, and 61 arterial plasties. Percentage of suppurative complications ranged from 8.8% after transplantations to 9.8% after arterial plasties. More than one surgery has been performed in some patients. The risk of infectious complications has been higher in these patients. Despite antibiotic treatment suppurative infections have been noted in 108 (101 men and 7 women) out of 1244 operated patients, i.e. in 8.6%. Intravenous administration of antibiotics during surgery has proven the most effective prophylaxis. An infection of postoperative wound is the most severe local complication in vascular surgery. It has also been most frequent in the analysed group of patients, being 31.3% of all local complications.

摘要

对动脉外科重建术后出现化脓性病变的患者进行了分析。在311例接受手术的患者中,有110例(102例男性和8例女性)出现了此类并发症。考虑到男性和女性患者数量的差异,血管外科手术并发化脓性病变的风险在两性中是成比例的。1366例手术包括:361例再通术、944例移植术和61例动脉整形术。化脓性并发症的发生率从移植术后的8.8%到动脉整形术后的9.8%不等。一些患者接受了不止一次手术。这些患者发生感染性并发症的风险更高。在1244例接受手术的患者中,尽管使用了抗生素治疗,但仍有108例(101例男性和7例女性)出现了化脓性感染,即8.6%。手术期间静脉注射抗生素已被证明是最有效的预防措施。术后伤口感染是血管外科最严重的局部并发症。在分析的患者组中,它也是最常见的,占所有局部并发症的31.3%。

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