Eichenberger Susanne
Universitäres Notfallzentrum, Inselspital Bern.
Ther Umsch. 2020 Jun;77(5):207-212. doi: 10.1024/0040-5930/a001176.
Treatment of Skin Abscesses in the Emergency Department Skin abscesses are a common cause for presentation in the emergency department and are in most cases treated by incision and drainage. The diagnosis is usually based upon clinical manifestation. If there is uncertainty regarding the presence of an abscess, bedside ultrasonography is suggested to identify the presence, size and location of the abscess. Uncomplicated abscesses < 5 cm in diameter often can be treated under local or regional anesthesia with or without additional procedural sedation within the emergency department. Sufficient anesthesia and analgesia are essential to avoid undertreatment of the abscess. Certain abscess localizations or conditions require referral to a surgeon and / or operation of the abscess in the operating room. Alternative to the classic incision and drainage the minimal invasive Loop Drainage Technique may be considered. A postoperative systemic antibiotic treatment is only indicated under certain conditions.
急诊科皮肤脓肿的治疗 皮肤脓肿是急诊科常见的就诊原因，大多数情况下通过切开引流进行治疗。诊断通常基于临床表现。如果对脓肿的存在存在疑问，建议进行床旁超声检查以确定脓肿的存在、大小和位置。直径小于5厘米的单纯性脓肿通常可在急诊科在局部或区域麻醉下进行治疗，可使用或不使用额外的程序镇静。充分的麻醉和镇痛对于避免脓肿治疗不足至关重要。某些脓肿的定位或情况需要转诊给外科医生和/或在手术室进行脓肿手术。除了经典的切开引流外，可考虑采用微创环行引流技术。术后全身抗生素治疗仅在某些情况下适用。
