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肥胖患者结直肠手术后的切口感染

Incisional infection after colorectal surgery in obese patients.

作者信息

Nyström P O, Jonstam A, Höjer H, Ling L

出版信息

Acta Chir Scand. 1987 Mar;153(3):225-7.

PMID:3604524
Abstract

In a prospective study of 189 colorectal operations, the subcutaneous fat layer in the abdominal incisional wound was measured for correlation with wound infection. The infection rate was 20% when the fat layer was greater than or equal to 3.5 cm and 6.8% when the thickness was less than or equal to 3 cm (statistically significant difference). This c. threefold rise indicates that in obese patients special attention should be directed to antibiotic and other prophylaxis against incisional infection.

摘要

在一项对189例结肠直肠手术的前瞻性研究中,测量了腹部切口伤口的皮下脂肪层,以研究其与伤口感染的相关性。当脂肪层大于或等于3.5厘米时,感染率为20%;当厚度小于或等于3厘米时,感染率为6.8%(统计学上有显著差异)。这种约三倍的上升表明,对于肥胖患者,应特别注意使用抗生素及采取其他预防切口感染的措施。

相似文献

1
Incisional infection after colorectal surgery in obese patients.肥胖患者结直肠手术后的切口感染
Acta Chir Scand. 1987 Mar;153(3):225-7.
2
The impact of obesity on outcome after major colorectal surgery.肥胖对大肠大手术后结局的影响。
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3
Single dose prophylaxis in colorectal surgery.结直肠手术中的单剂量预防
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4
A prospective comparative study of cefotetan with piperacillin for prophylaxis against infection in elective colorectal surgery.头孢替坦与哌拉西林预防择期结直肠手术感染的前瞻性对照研究。
Chemioterapia. 1987 Jun;6(2 Suppl):600.
5
Impact of laparoscopic colorectal resection on surgical site infection.腹腔镜结直肠切除术对手术部位感染的影响。
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6
Single-dose intravenous metronidazole v. doxycycline prophylaxis in colorectal surgery. An open prospective, randomized trial.
Acta Chir Scand. 1985;151(2):163-8.
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[Local ampicillin prevention of wound infection after elective colorectal surgery].[局部使用氨苄西林预防择期结直肠手术后伤口感染]
Ugeskr Laeger. 1985 Mar 4;147(10):876-8.
8
Antibiotic prophylaxis in colorectal surgery. Combined doxycycline-tinidazole vs. doxycycline alone.
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[Antibiotic prophylaxis in colorectal surgery: is there a drug of choice?].[结直肠手术中的抗生素预防:是否存在首选药物?]
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Single-dose prophylaxis in elective colorectal surgery: a prospective, randomized trial with piperacillin or latamoxef.择期结直肠手术中的单剂量预防:哌拉西林或拉氧头孢的前瞻性随机试验。
J Chemother. 1989 Jul;1(4 Suppl):997-8.

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Antibiotic pharmacodynamics in surgical prophylaxis: an association between intraoperative antibiotic concentrations and efficacy.外科预防中的抗生素药效学:术中抗生素浓度与疗效之间的关联。
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