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西咪替丁术前治疗对术后伤口感染的影响。

The effect of preoperative treatment with cimetidine on postoperative wound sepsis.

作者信息

Feretis C B, Contou C T, Papoutsis G G, Contostolis S B, Basioukas P S, Calaitzopoulos J D, Nissiotis A S, Apostolidis N S

出版信息

Am Surg. 1984 Nov;50(11):594-8.

PMID:6497181
Abstract

The results of preoperative treatment of uncomplicated duodenal ulcer patients with Cimetidine are presented. Cimetidine given preoperatively increases the pH of gastric aspirates and alters the bacterial flora of the stomach at the time of operation, resulting in an increased incidence of postoperative wound sepsis. Discontinuing Cimetidine 2 days before surgery is a safe step against the risk wound sepsis.

摘要

本文展示了用西咪替丁对单纯性十二指肠溃疡患者进行术前治疗的结果。术前给予西咪替丁会提高胃吸出物的pH值,并在手术时改变胃内的细菌菌群,导致术后伤口感染的发生率增加。术前2天停用西咪替丁是预防伤口感染风险的安全措施。

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