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术后腹腔内感染

Postoperative intra-abdominal sepsis.

作者信息

Rogers P N, Wright I H

机构信息

Department of Surgery, Western Infirmary, Glasgow, UK.

出版信息

Br J Surg. 1987 Nov;74(11):973-5. doi: 10.1002/bjs.1800741104.

DOI:10.1002/bjs.1800741104
PMID:3319028
Abstract

Postoperative intra-abdominal sepsis carries a high mortality. Diagnosis by clinical examination is often difficult, and imaging techniques may be helpful. Diagnostic laparotomy should be considered early, even in the absence of localizing signs. The use of aggressive surgical techniques may improve prognosis. The timing of surgical intervention is as important as the technique. Early diagnosis and treatment is particularly crucial in critically ill patients.

摘要

术后腹腔内感染的死亡率很高。通过临床检查进行诊断往往很困难,而影像学技术可能会有所帮助。即使没有定位体征,也应尽早考虑进行诊断性剖腹手术。采用积极的手术技术可能会改善预后。手术干预的时机与技术同样重要。对于危重症患者,早期诊断和治疗尤为关键。

相似文献

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Postoperative intra-abdominal sepsis.术后腹腔内感染
Br J Surg. 1987 Nov;74(11):973-5. doi: 10.1002/bjs.1800741104.
2
Special problems in the diagnosis and treatment of surgical sepsis.
Surg Clin North Am. 1985 Aug;65(4):965-89. doi: 10.1016/s0039-6109(16)43689-3.
3
Diagnostic features of early high post-laparotomy fever: a prospective study of 100 patients.
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Fascial dehiscence after trauma laparotomy: a sign of intra-abdominal sepsis.
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Noninvasive imaging tests in the diagnosis and treatment of intra-abdominal abscesses in the postoperative patient.非侵入性成像检查在术后患者腹腔内脓肿诊断与治疗中的应用
Surg Clin North Am. 1994 Jun;74(3):693-709.
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Treatment of the open abdomen with the commercially available vacuum-assisted closure system in patients with abdominal sepsis: low primary closure rate.在腹部脓毒症患者中使用市售负压封闭引流系统治疗开放性腹部伤口:一期缝合率低。
World J Surg. 2008 Dec;32(12):2724-9. doi: 10.1007/s00268-008-9762-y.
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[Diagnosis and therapy of an acute abdomen].[急腹症的诊断与治疗]
Med Klin Intensivmed Notfmed. 2014 Sep;109(6):445-56; quiz 457-8. doi: 10.1007/s00063-013-0335-y.
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[Wound infections, adhesions, late fistulas. Are you equipped to deal with the possible sequelae of abdominal operations?].[伤口感染、粘连、晚期瘘管。你是否有能力应对腹部手术可能产生的后遗症?]
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Management of abdominal sepsis--a paradigm shift?腹部脓毒症的管理——是一种范式转变吗?
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Role of the Open Abdomen in Critically Ill Patients.开放腹腔在危重症患者中的作用
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Planned reoperations and open management in critical intra-abdominal infections: prospective experience in 52 cases.
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