腹部术后切口早期感染防治经验

primary Experience Preventing infeeflon in abdomen

目的:总结289例腹部术后切口早期感染临床防治经验。方法:对289例腹部术后切口发生早期感染病人,在局部症状明显切口缝线间,用无菌干棉签由浅入深反复轻柔沾擦,将脂肪液化及脓性渗出物彻底沾净,切口外敷酒精纱布,无需拆除缝线和麻醉。结果:切口Ⅰ期愈合237例,有效率82.01％,发生切口感染52例,占17.99％,占整个同期腹部手术1.92％,感染率明显下降。减少了病人长期换药的痛苦,缩短了住院天数,减少抗生素用量,减轻了病人经济负担。结论:对腹部术后切口早期感染采取及时发现,准确、简便的局部处理,能有效抑制切口感染的进展,使切口早期感染得到有效控制。

Objective To sum up 289 primry Experience preventing infection in ahdomen perfermed operation who suffered from belly disease. Methods There were 289 cases who sufferde from belly infection after operation early tage. We adopted to handle fattinwss liquefaction , pyold secretin and covered with germicidal gauze,Results There were l stage heal up in 237 cases, had efficient to 82.01% and infected 52 cases (17.99% ). Total infected rate accypy to 1.92% in all perfoymed sufferer. Conclusions It has obvious advantage to fing infection of incision in nonage, thene include more aspect: there were relatively short settle in hospitalization , minimum dosage in antibiotic and less ecnomic budden ,otherwise it could be controlled primarily incision infection.