儿童胃肠外科重症感染并发症的早期观察及处理

Eearly observation and treatment of infectious complications

目的总结儿童胃肠外科重症感染严重并发症的早期观察及处理方法。方法对2010年1月至2012年12月我们收治的2625例感染性疾病进行回顾性总结，研究并综合分析其疾病分类、耐药菌分类、抗生素使用、感染高危因素等情况。结果2625例重症感染病例，无一例死亡，无院内交叉感染病例。结论①对抗生素敏感的致病菌仍是小儿感染的主要致病菌。②严密的医护观察和临床监测可早期发现相关并发症。③正确使用抗生素可有效控制感染，减轻器官损害，避免产生耐药菌株及院内交叉感染。④外科手术切除病灶，充分清洗及负压引流是减少严重并发症的重要手段。

Objetive To conclude the methods of early observation and therapy of severe complication of infectious gastrointestinal disease.Methods A retrospective analysis was made on detailed morbidity,bacteria pathogen,antibiotic therapy,high risk factors of the 2 625 cases of infectious disease diagnosed and treated in our hospital from Jan.2010 to Dec.2012. Results Neither dead case nor cross-infection in hospital hap-pened in the 2 625 cases. Conclusion ①The antibiotic sensitive bacteria are the main pathogens of infection cases in children.②Complications of infection cases are spotted early with strict medical abservation and clini-cal monitoring.③The reasonable utility of antibiotics can control infections effectively,reduce the organic le-sion and prevent the appearance of multi-resistant bacteria or hospital interact infection.④ The significant methods of reducing complications include reasonable surgical treatment,debride totally and negative pressure drainage.