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[肾移植过程中的伤口愈合问题(作者译)]

[Problems of wound healing during kidney transplantation (author's transl)].

作者信息

Lerut J, Lerut T, Gruwez J A, Michielsen P

出版信息

Acta Chir Belg. 1978 Jan-Feb;77(1):51-6.

PMID:345702
Abstract

Infection of the transplant bed caused an important morbidity and mortality. Meticulous preoperative preparation and surgical technique, the local irrigation of the transplant site with local antibiotics as well as the barrier-nursing of these high risk patients are all equally important factors to limit infectious complications in the transplant population. Since the use of the barrier-nursing principle, infection rate fell down from 8.1% to 3.6% for primary transplant wounds. The infection rate of the potentially contaminated wounds is much better than the pourcentage obtained in analogous interventions in general surgery. Nevertheless, despite these measures, re-intervention on a transplant still remains much more susceptible to infection because of the high technical difficulty of these interventions.

摘要

移植床感染会导致严重的发病率和死亡率。细致的术前准备和手术技术、局部使用抗生素冲洗移植部位以及对这些高危患者进行屏障护理,都是限制移植人群感染并发症的同等重要因素。自从采用屏障护理原则以来,原发性移植伤口的感染率从8.1%降至3.6%。潜在污染伤口的感染率比普通外科类似干预措施中的感染率要好得多。然而,尽管采取了这些措施,由于这些干预措施技术难度高,移植后的再次干预仍然更容易受到感染。

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