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