腹腔灌洗液在腹腔感染手术后的临床应用

The clinical application of abdominal cavity washing water after the abdominal cavity infection operation

目的探讨甲硝唑、右旋糖酐腹腔灌洗预防腹腔感染手术术后肠粘连的可行性。方法60例腹腔感染明显的手术病人中,任选30例为对照组,另30例为治疗组;术后第1天治疗组用甲硝唑、右旋糖酐混合配制溶液进行腹腔灌洗,疗程3～5日,1次/d;对照组则采用常规治疗。结果治疗组病例未发现明显有阵发性腹痛、腹胀等现象,有2例轻微腹痛不能排除肠粘连原因;对照组病例均发生轻重不一的阵发性腹痛、腹胀现象,其中2例出现典型肠梗阻表现,对比有显著差异性(P<0.05)。结论采用甲硝唑、右旋糖酐配制液对腹腔感染手术进行腹腔灌洗,有效地防止了腹腔感染手术后肠粘连的发生,无明显不良反应,适用于在基层医院推广。

Objective: To discuss the feasibility of using Flagyl、Dextranum to wash the peritoneal cavity,in order to prevent the infection and intestinal adhesion.Methods: Choose 30 cases among 60 who suffered infection of peritoneal cavity.The other 30 cases will be treatment group.In the first day,use the mixed solution of Flagyl and Dextranum to wash peritoneal cavity in treatment groups.Period of treatment is 3～5 days,once a day.Use routine treatment in comparing groups.Results: There are no bellyache,abdominal distention and ileus in treatment groups except two cases.There are distinct differences in comparison(P<0.05).Conclusion: Using Flagyl、Dextranum to wash the peritoneal cavity,in order to prevent the infection and prevent the occurrence of intestinal adhesion after operation.In addition,it has no distinct bad reactions.It can be applied in sub base hospitals.