66例急性化脓性阑尾炎行阑尾切除切口感染及预防观察

66 example acute purulent appendicitis good appendix excision margin infection and prevention observation

目的：总结分析阑尾炎手术切口感染的处理及预防情况.方法：选择2006年1月-2009年1月对我院66例急性阑尾炎患者,采用术前0～2h应用抗生素,大量生理盐水及甲硝唑冲洗腹腔,碘伏浸泡切口,皮下脂肪层不缝合或采用不加铬可吸收单丝线缝合预防切口感染.结果：阑尾炎术后切口经预防感染处理后,其中I期伤口愈合62例,占95.3%;4例二期愈合,占4.7%.结论：进一步降低阑尾切除术后切口感染率是临床医生应予以重视的问题.

Objective：Summary analysis appendicitis surgery margin infection processing and prevention situation. Methods：Chooses in January,2006 - January, 2009 to my courtyard 66 example acute appendicitis patient, uses in front of the technique the 0-2h application antibiotic, the massive physiological saline and the armor niter zuo flush the abdominal cavity, the idodine bend down the immersion margin, the hypodermic fat level does not suture or uses does not add the chromium to be possible to absorb the monofilament line to suture the prevention margin infection. Results： After the appendicitis technique the margin after prevention infection processing, I issue of wound heals 62 examples, accounts for 95.3 % ;4 example two issues heal, occupy 4.7 %. Conclusion： After further reduces the appendectomy the margin infection percentage is the question which clinician should give to take.