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全髋关节置换术后败血症。预防与诊断。

Total hip arthroplasty sepsis. Prevention and diagnosis.

作者信息

Fitzgerald R H

机构信息

Department of Orthopaedic Surgery, Wayne State University School of Medicine, Detroit, Michigan.

出版信息

Orthop Clin North Am. 1992 Apr;23(2):259-64.

PMID:1570138
Abstract

Postoperative deep wound infection following total hip arthroplasty remains a serious and all too frequent complication. Although diagnostic capabilities have improved with the evolution of new imaging and immunologic techniques, the devastating consequences for patients with an early diagnosis cannot yet be aborted. Thus, further emphasis must be placed on prevention of this complication. Although major referral centers have managed to achieve exceptionally low incidences of postoperative sepsis with the prophylactic administration of antimicrobial agents and discipline within the operating room, these advances have not translated into a similar reduction of the national experience. Thus, further investigation and the development of additional techniques must be sought.

摘要

全髋关节置换术后深部伤口感染仍然是一种严重且极为常见的并发症。尽管随着新的成像和免疫技术的发展,诊断能力有所提高,但对于早期诊断的患者,这种毁灭性后果仍无法避免。因此,必须进一步强调预防这种并发症。尽管主要的转诊中心通过预防性使用抗菌药物和手术室的规范操作,已成功将术后败血症的发生率降至极低水平,但这些进展并未在全国范围内带来类似的降低。因此,必须寻求进一步的研究和开发其他技术。

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