继发性腹膜炎抗生素治疗104例临床分析

Clinical analysis of the antibiotic therapy of 104 cases of secondary peritonitis

目的 探讨继发性腹膜炎的抗生素治疗方法。方法 对 1 0 4例继发性腹膜炎进行评分 ,4 4例评分≤ 6分者给予预防性抗生素治疗 ;6 0例≥ 7分者给予治疗性抗生素治疗。结果 预防组切口感染 4例 ,腹腔残余感染无。治疗组切口感染 8例 ,腹腔残余感染 3例。全组 1例因合并心衰死亡。结论 根据腹膜炎严重程度术后合理应用抗生素 ,避免轻症腹膜炎的不必要用药。

Objective To study the antibiotic therapy of secondary peritonitis.Methods 104 cases of secondary peritonitis were evaluated by peritonitis score. Forty four cases whose scores were less than 6 were given antibiotic for prevention. Sixty cases whose scores were more than 7 were given the antibiotic for treatment.Results In the preventive group, incision infection occurred in 4 cases and no residual abdominal infection was observed. In the treatment group, incision infection occurred in 8 cases and there was 3 cases of residual abdominal infection.Conclusion Reasonable usage of antibiotic according to the severity of peritonitis can decrease the over use for peritonitis. Postoperative experiential, usage of antibiotic for severe peritonitis should cover possible pathogenic bacteria with 2 or 3 kinds of antibiotics.