摘要
目的探讨腹部手术切口脂肪液化的发病机理和防治措施。方法采用回顾性方法,对我们自1995年5月～2009年5月收治的24例腹部手术切口脂肪液化病人的临床资料进行分析。结果渗液停止时间5～16天,平均6.5天。放置引流3～16天,平均4天。切口均愈合良好,无感染,其中一期愈合19例,二期愈合5例。愈合时间8～22天。结论避免高电流电刀长时间烧灼脂肪,手术操作轻柔,术中做好脂肪层的保护,纠正营养不良、低蛋白血症可预防切口脂肪液化。切口脂肪液化后,可根据脂肪液化广泛的程度予拆线,局部用纱条或引流管负压引流,换药,促使伤口一期或二期愈合,缩短住院时间,减轻痛苦。
Objective To probe into the etiology and prophylactic-therapeutic measures in fat liquefaction abdominal incision. Methods The clinical data of 24 patients receiving fat liquefaction of abdominal incision treated in our department from May 1995 to May 2009 were retrospectively analyzed. Results Incision healed in 8 - 22 d after the operation with no baterial infection in all patients. Conclusion Early finding and treatment, placing pipe into incision, restrainedly using high frequency electrotomes can improve incision healed, shorten the time of hospitalization and alleviate suffering.
出处
《临床医学工程》
2009年第9期86-87,共2页
Clinical Medicine & Engineering
关键词
腹部切口
脂肪组织
液化
abdominal incision
adipose tissue
liquefaction
