术中腹腔冲洗方法治疗重症阑尾炎的体会

目的:降低急性重症阑尾炎术后切口及腹腔残余感染发生率。方法:对32例急性重症阑尾炎术中采用庆大霉素及甲硝唑充分冲洗腹腔,清除腹腔内坏死组织及碎屑。结果:本组32中29例均取得良好的治疗效果,未发生并发症,仅有3例发生术后感染。结论:重症急性阑尾炎术中采用有效的腹腔冲洗方法,降低了腹腔残余感染的发生。

objecfie： Patients with acute appendicitis lower abdominal incision and residual infection rate. Methods： the patients with acute appendicitis 32 cases of intraoperatie using gentamycin and metronidazole fully flush celiac, clear intra-abdominal necrotic tissue and detritus. As a result, this has achieved in 29 cases of 32 good curative effect, not complications, only 3 cases had postoperative infection, conclusion, severe acute appendicitis intraoperative adopting effective celiac irrigation, reduced the celiac residual of infection. Keywords： severe appendicitis, celiac flush residual infection. Help wall