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[伤口感染及其治疗。普通外科与腹部外科]

[Wound infection and its treatment. In general and abdominal surgery].

作者信息

Schwemmle K

出版信息

Langenbecks Arch Chir. 1982;358:173-7. doi: 10.1007/BF01271776.

DOI:10.1007/BF01271776
PMID:7169859
Abstract

The treatment of infected wounds follows the well-known principles of septic surgery: incision, drainage and perhaps irrigation. The prevention of infection is particularly important: a short clinical stay in preparation for the operation, observing the rules of hygiene, and an atraumatic surgical technique. Prophylactic antibiotics are indicated in surgery of the colon. In manifest peritonitis the source of infection must be eliminated. Drainage of the free abdominal cavity as well as intra- and postoperative peritoneal irrigation are of questionable value.

摘要

感染伤口的治疗遵循脓毒症外科的著名原则

切开、引流,可能还包括冲洗。预防感染尤为重要:术前短期住院以做好准备、遵守卫生规则以及采用无创伤手术技术。结肠手术中需使用预防性抗生素。在明显的腹膜炎中,必须消除感染源。游离腹腔的引流以及术中及术后的腹腔冲洗价值存疑。

相似文献

1
[Wound infection and its treatment. In general and abdominal surgery].[伤口感染及其治疗。普通外科与腹部外科]
Langenbecks Arch Chir. 1982;358:173-7. doi: 10.1007/BF01271776.
2
[Zipper as a new method of temporary abdominal wall closure in abdominal surgery].[拉链作为腹部手术中临时腹壁关闭的新方法]
Chirurg. 1985 Mar;56(3):173-8.
3
Postoperative abdominal infections.术后腹部感染
Compr Ther. 1979 May;5(5):44-50.
4
[INFECTIOUS COMPLICATIONS IN ABDOMINAL SURGERY. PREVENTION. PREPARATION FOR THE OPERATION. GENERAL THERAPEUTIC MEASURES].[腹部手术中的感染并发症。预防。手术准备。一般治疗措施]
Cah Anesthesiol. 1963 Mar;10:570-6.
5
[Prevention of suppuration of surgical wounds in abdominal surgery].
Vestn Khir Im I I Grek. 1984 Jun;132(6):129-34.
6
Surgical aspects in the management of peritonitis.腹膜炎治疗中的外科问题
Scand J Gastroenterol Suppl. 1984;100:49-52.
7
Generalized peritonitis. To irrigate or not to irrigate the abdominal cavity.弥漫性腹膜炎。是否对腹腔进行冲洗。
Arch Surg. 1982 Feb;117(2):209-12. doi: 10.1001/archsurg.1982.01380260075013.
8
The management of peritoneal and parietal contamination in abdominal surgery.腹部手术中腹膜和腹壁污染的处理
Br J Surg. 1983 Jul;70(7):440-1. doi: 10.1002/bjs.1800700717.
9
Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries-Update and systematic review.中国创伤外科医师协会腹部手术中应用封闭式负压引流的管理指南:更新与系统评价
Chin J Traumatol. 2019 Feb;22(1):1-11. doi: 10.1016/j.cjtee.2018.10.005. Epub 2019 Feb 14.
10
[Use of suction drainage with irrigation in peritoneal cavity drainage].[腹腔引流中负压吸引联合灌洗的应用]
Bratisl Lek Listy. 1982 Dec;78(6):700-5.

本文引用的文献

1
[Effectiveness of continuous drainage in diffuse bacterial peritonitis].[持续引流在弥漫性细菌性腹膜炎中的有效性]
Chirurg. 1980 Dec;51(12):774-6.
2
The epidemiology of wound infection. A 10-year prospective study of 62,939 wounds.伤口感染的流行病学。对62939例伤口进行的10年前瞻性研究。
Surg Clin North Am. 1980 Feb;60(1):27-40. doi: 10.1016/s0039-6109(16)42031-1.
3
Metronidazole and appendicitis. Can a preoperative prophylaxis be changed to a peroperative treatment in high risk patients?
Acta Chir Scand. 1981;147(6):445-6.
4
Newer adjunctive treatments for peritonitis.腹膜炎的新型辅助治疗方法。
Surgery. 1981 Nov;90(5):917-8.
5
Open peritoneal drainage as effective treatment of advanced peritonitis.
Surgery. 1981 Nov;90(5):804-9.
6
Delayed primary wound closure in gangrenous and perforated appendicitis.
Br J Surg. 1981 Sep;68(9):635-8. doi: 10.1002/bjs.1800680910.
7
Internal overhealing: the problem of intraperitoneal adhesions.内部过度愈合:腹膜粘连问题
World J Surg. 1980 May;4(3):303-6. doi: 10.1007/BF02393386.
8
[Appendectomy from Payr's viewpoint].[从派尔的视角看阑尾切除术]
Zentralbl Chir. 1971 Jan 2;96(1):1-6.
9
[Use of antibiotics in septic surgery].[抗生素在脓毒症手术中的应用]
Chirurg. 1971 Jul;42(7):299-301.