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[肝脏和胰腺手术后腹腔引流期间伤口的细菌学研究]

[Bacteriological study of the wounds during drainage of the abdominal cavity after operations on the liver and pancreas].

作者信息

Kazantsev N I

出版信息

Vestn Khir Im I I Grek. 1993 May-Jun;150(5-6):13-6.

PMID:8091564
Abstract

Results of bacteriological studies have shown that the secondary infection of wounds and the abdominal cavity in patients comes through the glove-gauze tampon in 76.9% of cases. The pathogenic microflora comes into the wound and the abdominal cavity by the tampon from the skin under the aseptic adhesive. It occurs much more rarely (7.15% of cases--p < 0.001) if tube drains and active aspiration are used for drainage at the postoperative period. This method of drainage of the abdominal cavity is followed by 3 times less amount of complications than when using the glove-gauze tampons. Tampons should be used for drainage of the abdominal cavity but when hemostasis is not thorough for certain and when it is necessary to delimit the pyo-inflammatory process from the free abdominal cavity.

摘要

细菌学研究结果表明,患者伤口和腹腔的继发性感染有76.9%是通过手套纱布填塞物发生的。致病微生物通过无菌粘合剂下皮肤的填塞物进入伤口和腹腔。如果在术后使用引流管和主动抽吸进行引流,这种情况发生的几率要低得多(7.15%的病例——p<0.001)。与使用手套纱布填塞物相比,这种腹腔引流方法的并发症数量减少了两倍。腹腔引流应使用填塞物,但前提是止血不彻底且有必要将脓性炎症过程与游离腹腔分隔开。

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