[阑尾切除术后伤口愈合的并发症。医学和经济方面]

[Complications of wound healing after appendectomy. Medical and economic aspects].

作者信息

Kanshin N N, Volenko A V, Faĭnberg K A, Germanovich Ch S, Pometun V V

出版信息

Khirurgiia (Mosk). 1991 Sep(9):119-23.

Abstract

The incidence of hospital and posthospital wound complications was studied in 236 patients, residents of Zelonograd, who underwent operation for acute appendicitis. The material was collected at City Hospital No. 3 and four out-patient clinics of Zelenograd. The incidence of suppuration of the surgical wound in the hospital period was 13.1%, that of nonpurulent complications was 9.3%, and the total incidence of the wound complications was 22.4%. In the posthospital period additional suppuration of wounds was encountered in 23.3% of patients, nonsuppurative wound complications in 17.1%, and the total incidence of posthospital wound complications was 40.3%. The frequency of rehospitalization was 5.5%, the incidence of postoperative hernias was 0.9%. The economical loss due to the development of wound complications in 236 patients operated on for acute appendicitis came up to 56,120 roubles.

摘要

对236名来自泽廖诺格勒的居民进行了急性阑尾炎手术，研究了他们在住院期间和出院后伤口并发症的发生率。资料收集于第3市立医院和泽廖诺格勒的四家门诊诊所。住院期间手术伤口化脓的发生率为13.1%，非化脓性并发症的发生率为9.3%，伤口并发症的总发生率为22.4%。出院后，23.3%的患者伤口出现额外化脓，17.1%出现非化脓性伤口并发症，出院后伤口并发症的总发生率为40.3%。再次住院的频率为5.5%，术后疝气的发生率为0.9%。236例接受急性阑尾炎手术的患者因伤口并发症的发生造成的经济损失达56120卢布。