CAJ | 학술논문

目的：探究植皮术后感染的因素以及诊治方式。方式：选取行植皮手术患者148例，对其创面分泌物细菌学情况以及创面感染相关因素进行收集，之后对结果进行分析，研究导致感染发生的主要致病因素，并对治疗方式进行讨论。结果：手术时间、抗生素应用、住院时间、创面瘢痕情况等因素都是导致患者出现感染的高危因素；而在致病菌中以革兰阴性杆菌最为常见，占51.67％；常见的细菌为：大肠埃希菌、金黄色葡萄球菌、铜绿假单胞菌、表皮葡萄球菌、肺炎克雷伯菌、鲍曼不动杆菌；多数细菌呈多重耐药。结论：烧伤整形医师要对植皮术后患者的感染致病因素进行系统的了解，并要了解每种致病因素的治疗方式，要减少患者的感染机率，提高植皮成功率。
목적：탐구식피술후감염적인소이급진치방식。방식：선취행식피수술환자148례，대기창면분비물세균학정황이급창면감염상관인소진행수집，지후대결과진행분석，연구도치감염발생적주요치병인소，병대치료방식진행토론。결과：수술시간、항생소응용、주원시간、창면반흔정황등인소도시도치환자출현감염적고위인소；이재치병균중이혁란음성간균최위상견，점51.67％；상견적세균위：대장애희균、금황색포도구균、동록가단포균、표피포도구균、폐염극뢰백균、포만불동간균；다수세균정다중내약。결론：소상정형의사요대식피술후환자적감염치병인소진행계통적료해，병요료해매충치병인소적치료방식，요감소환자적감염궤솔，제고식피성공솔。
Objective To explore the skin grafting postoperative infection factors and its diagnosis and treatment methods.Methods 148 cases of burns and plastic patients in our hospital from June 2012 to October 2013 were selected,and their secretions were given bac-terial culture,and then the results were analyzed.The main factor leading to the infection and the treatment methods were studied and discussed.Results The operation time,antibiotics,hospitalization,wound scar case and other factors all contribute to risk factors for in-fection in patients.In bacteria to the most common gram-negative bacilli,total 51.67%.Common bacteria:Escherichia coli,Staphylo-coccus aureus,Pseudomonas aeruginosa,Staphylococcus epidermidis,Klebsiella pneumoniae,Acinetobacter baumannii;most were multi-drug resistant bacteria.Conclusion Physicians want to skin grafting surgery patients infected with a systematic understanding of risk factors,and to understand the risk factors for each treatment,to reduce the risk of infection in burn patients in orthopedic surgery.