Kuner E H
Unfallchirurgie. 1985 Aug;11(4):174-80. doi: 10.1007/BF02587956.
Since the spectrum of surgical procedures has become larger, high attention has to be paid to asepsis. A well defined theatre practice and introduction of ultraclean air in operation rooms are described as "non-infection" measurements. Airborne route of surgical infection has to be excluded especially in operations, where large implants are used and in emergency cases with bad soft tissue conditions. Moreover, surgical technique, choice of method, time of operation, atraumatic surgical procedure are as important as to follow the rules of biomechanics in preventing postoperative wound infections, which remain the principal threat of successful surgery. But it is not only the surgeon and his team, who are responsible for correct asepsis, also the hospital authorities are challenged--not only for forensic reasons--to cooperate in this important task.
由于外科手术的范围不断扩大，必须高度重视无菌操作。明确的手术室规范以及在手术室内引入超净空气被视为“抗感染”措施。必须排除手术感染的空气传播途径，尤其是在使用大型植入物的手术以及软组织条件较差的急诊病例中。此外，手术技术、方法选择、手术时间、无创伤手术操作与遵循生物力学规则对于预防术后伤口感染同样重要，术后伤口感染仍然是成功手术的主要威胁。但不仅外科医生及其团队要对正确的无菌操作负责，医院管理部门也面临挑战——不仅出于法医鉴定原因——要在这项重要任务中进行合作。
