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结直肠手术感染的预防性方案(作者译)

[A prophylactic regimen for infections in colorectal surgery (author's transl)].

作者信息

Nowak W

出版信息

Zentralbl Chir. 1979;104(15):961-8.

PMID:388929
Abstract

Without special prophylaxis, surgery of the colon and rectum is likely to result in postoperative complications due to infection at a percentage of 30 to 50. Prophylaxis against infections in colonic operations covers preoperative influence on general body defence, a subtle operating technique and special preparation of the intestine, the latter including adequate bulkage - free diet, a special preparation of the intestine and preoperative administration of antibiotics. Preparation by means of phthalylsulfathiazol has shown no effects. A preparation programme is suggested for 3 to 8 days preoperatively.

摘要

若无特殊预防措施,结肠和直肠手术因感染导致术后并发症的发生率可能为30%至50%。结肠手术的感染预防包括术前对全身防御功能的影响、精细的手术操作技术以及肠道的特殊准备,后者包括充足的无渣饮食、肠道的特殊准备和术前抗生素给药。采用酞磺胺噻唑进行准备未显示出效果。建议术前3至8天进行准备程序。

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