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胃肠道手术后感染:腹腔内脓肿

Infections following gastrointestinal surgery: intra-abdominal abscess.

作者信息

Nichols R L

出版信息

Surg Clin North Am. 1980 Feb;60(1):197-212. doi: 10.1016/s0039-6109(16)42044-x.

Abstract

Intra-abdominal sepsis is frequently present after trauma, surgical resection, or intrinsic diseases of the gastrointestinal tract. Infection may be generalized or localized in intraperitoneal or extraperitoneal locations as well as in solid organs. The offending microflora is polymicrobial, consisting of both aerobes and anaerobes. Adequate, prompt surgical drainage and the appropriate choice of parenteral antibiotics aimed at both types of bacteria will result in a more favorable postoperative course and will reduce the possibility of local infection and secondary septicemia.

摘要

腹部脓毒症常见于创伤、手术切除或胃肠道自身疾病之后。感染可能是全身性的,也可能局限于腹膜内、腹膜外或实体器官。致病菌群为混合菌,包括需氧菌和厌氧菌。充分、及时的手术引流以及针对这两类细菌选择合适的肠外抗生素,将带来更有利的术后病程,并降低局部感染和继发性败血症的可能性。

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