中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
31期
36-36,38
,共2页
负压封闭引流术%腹部手术%切口感染
負壓封閉引流術%腹部手術%切口感染
부압봉폐인류술%복부수술%절구감염
Vacuum sealing drainage%Abdominal operation%Incision infection
目的：总结负压封闭引流术在腹部手术后急性切口感染治疗中的效果。方法：2010年1月-2013年10月收治腹部手术后急性切口感染患者26例，对其临床资料进行回顾性分析，切口部分或全部裂开。感染切口先取样行细菌培养和药敏试验，然后彻底清创，填充含有引流管的泡沫材料于切口内，再以生物半透膜封闭，引流管连接负压引流装置，连续负压封闭引流5～14 d后视创面情况进行缝合。结果：22例切口感染患者经负压封闭引流5～7 d后缝合；4例患者负压封闭引流10～14 d后缝合切口。愈合时间13～20 d，平均16 d。结论：负压封闭引流术对腹部手术后切口感染治疗安全有效，值得临床推广。
目的：總結負壓封閉引流術在腹部手術後急性切口感染治療中的效果。方法：2010年1月-2013年10月收治腹部手術後急性切口感染患者26例，對其臨床資料進行迴顧性分析，切口部分或全部裂開。感染切口先取樣行細菌培養和藥敏試驗，然後徹底清創，填充含有引流管的泡沫材料于切口內，再以生物半透膜封閉，引流管連接負壓引流裝置，連續負壓封閉引流5～14 d後視創麵情況進行縫閤。結果：22例切口感染患者經負壓封閉引流5～7 d後縫閤；4例患者負壓封閉引流10～14 d後縫閤切口。愈閤時間13～20 d，平均16 d。結論：負壓封閉引流術對腹部手術後切口感染治療安全有效，值得臨床推廣。
목적：총결부압봉폐인류술재복부수술후급성절구감염치료중적효과。방법：2010년1월-2013년10월수치복부수술후급성절구감염환자26례，대기림상자료진행회고성분석，절구부분혹전부렬개。감염절구선취양행세균배양화약민시험，연후철저청창，전충함유인류관적포말재료우절구내，재이생물반투막봉폐，인류관련접부압인류장치，련속부압봉폐인류5～14 d후시창면정황진행봉합。결과：22례절구감염환자경부압봉폐인류5～7 d후봉합；4례환자부압봉폐인류10～14 d후봉합절구。유합시간13～20 d，평균16 d。결론：부압봉폐인류술대복부수술후절구감염치료안전유효，치득림상추엄。
Objective:To summarize the effect of vacuum sealing drainage in the treatment of acute incision infection after abdominal operation.Methods:26 patients with acute incision infection after abdominal operation were selected from January 2010 to October 2013.The clinical data were retrospectively analyzed.The incisions were some or all of the cracks.The incision infection was first taken samples for bacterial culture and drug sensitive test,then given thorough debridement,filled containing foam drainage tube in incision,closed by biological membrane.The drainage tube was connected with the negative pressure drainage device,after continuous negative pressure closed drainage 5~14 days,the incision was sutured according to the condition of the wound.Results:22 patients with incision infection were sutured after vacuum sealing drainage 5~7 days.The incisions of 4 patients were sutured after vacuum sealing drainage 10~14 days.The wound healing time was 13~20 days,and the average was 16 days.Conclusion:Vacuum sealing drainage in the treatment of incision infection after abdominal operation is effective and safe.It is worthy of clinical promotion.
