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全髋关节置换术中伤口环境的研究。

A study of the wound environment during total hip arthroplasty.

作者信息

McLauchlan J, Smylie H G, Logie J R, Smith G

出版信息

Postgrad Med J. 1976 Sep;52(611):550-7. doi: 10.1136/pgmj.52.611.550.

DOI:10.1136/pgmj.52.611.550
PMID:790352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2495904/
Abstract

Two hundred and seventeen total hip replacements were performed during a trial designed to assess the influence of a surgical isolator upon postoperative wound infection. The trial was controlled by performing 108 of the replacements in a standard plenum-ventilated theatre with twenty air changes/hr, which also housed the isolator procedures. Comparative postoperative wound infection rates were 6·4% for the isolator patients and 4·6% for those operated on in the plenum-ventilated theatre. There was intraoperative wound contamination in both groups of patients and, although the isolator reduced wound contamination at operation, this bore no relationship to eventual wound sepsis.

摘要

在一项旨在评估手术隔离器对术后伤口感染影响的试验中,共进行了217例全髋关节置换手术。通过在一个每小时换气20次的标准通风手术间进行108例置换手术来进行对照,该手术间也进行隔离器操作。隔离器组患者术后伤口感染率为6.4%,在通风手术间进行手术的患者为4.6%。两组患者术中均有伤口污染,尽管隔离器在手术时减少了伤口污染,但这与最终的伤口脓毒症并无关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd8/2495904/a8cc3589b85f/postmedj00285-0016-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd8/2495904/fdb9b5bbf9bf/postmedj00285-0012-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd8/2495904/c2a32f780672/postmedj00285-0016-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd8/2495904/a8cc3589b85f/postmedj00285-0016-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd8/2495904/fdb9b5bbf9bf/postmedj00285-0012-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd8/2495904/c2a32f780672/postmedj00285-0016-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fd8/2495904/a8cc3589b85f/postmedj00285-0016-b.jpg

相似文献

1
A study of the wound environment during total hip arthroplasty.全髋关节置换术中伤口环境的研究。
Postgrad Med J. 1976 Sep;52(611):550-7. doi: 10.1136/pgmj.52.611.550.
2
The surgical isolator.手术隔离器。
Br Med J. 1974 Feb 23;1(5903):322-4. doi: 10.1136/bmj.1.5903.322.
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Anaerobic bacteria in late infections after total hip arthroplasty.全髋关节置换术后晚期感染中的厌氧菌。
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引用本文的文献

1
A closed system surgical isolator for major elective abdominal operations.一种用于大型择期腹部手术的封闭式手术隔离器。
World J Surg. 1978 Jan;2(1):123-30. doi: 10.1007/BF01574479.

本文引用的文献

1
A CLEAN-AIR OPERATING ENCLOSURE.一个空气清洁的操作箱。
Br J Surg. 1964 Mar;51:202-5. doi: 10.1002/bjs.1800510309.
2
"Phisohex" and safer surgery.“六氯酚皂溶液”与更安全的手术
Br Med J. 1959 Oct 3;2(5152):606-9. doi: 10.1136/bmj.2.5152.606.
3
Bacterial endocarditis after surgery for acquired heart disease; report of two cases and review of the literature.
N Engl J Med. 1959 Jan 22;260(4):152-8. doi: 10.1056/NEJM195901222600402.
4
Flexible film apparatus for the rearing and use of germfree animals.用于无菌动物饲养和使用的柔性薄膜装置。
Appl Microbiol. 1957 Nov;5(6):406-12. doi: 10.1128/am.5.6.406-412.1957.
5
Postoperative infection in total prosthetic replacement arthroplasty of the hip-joint. With special reference to the bacterial content of the air of the operating room.髋关节全假体置换术后感染。特别提及手术室空气的细菌含量。
Br J Surg. 1969 Sep;56(9):641-9. doi: 10.1002/bjs.1800560902.
6
Ward design in relation to postoperative wound infection. I.与术后伤口感染相关的病房设计。一
Br Med J. 1971 Jan 9;1(5740):67-72. doi: 10.1136/bmj.1.5740.67.
7
Skin bacteria and skin disinfection reconsidered.重新审视皮肤细菌与皮肤消毒
Br Med J. 1972 Jan 15;1(5793):136-40. doi: 10.1136/bmj.1.5793.136.
8
The surgical isolator.手术隔离器。
Br Med J. 1974 Feb 23;1(5903):322-4. doi: 10.1136/bmj.1.5903.322.
9
From Phisohex to Hibiscrub.从皮西奥克(Phisohex)到 Hibiscrub。
Br Med J. 1973 Dec 8;4(5892):586-9. doi: 10.1136/bmj.4.5892.586.