摘要
目的：分析侧胸感染切口全层敞开换药后床旁清创缝合的可行性、安全性及操作要点.方法：选择2007年1月-2012年12月经侧胸感染切口全层敞开换药后行床旁清创缝合的24例患者,其中男性14例,女性10例;平均年龄58岁.24例患者均经肌内注射哌替啶及利多卡因局部麻醉,于床旁清创后用张力缝线全层褥式缝合缝闭切口,切口底部放置负压球引流管,所有操作均由单人完成.结果：平均床旁缝合时间42（30～72）min,患者均耐受良好,对循环、呼吸系统均无明显影响,引流管平均置留时间6.5（3～20）d,平均拆线时间12d,无缝合后再次切口感染发生.结论：侧胸切口感染后全层敞开换药后行床旁清创缝合安全可行,患者耐受良好,可由单人操作以节约医疗资源.
Objective：To investigate the feasibility,safety and key points of bedside debridement and suturing for lateral thoracic incision with postoperative infection after full open dressing.Methods：From January 2007 to December 2012,24 patients undergoing bedside debridement and suturing of lateral thoracic incision with postoperative infection after full open dressing were selected,in which 14 were males and 10 were females,with an average age of 58（42-75） years old.After receiving intramuscular injection of pethidine and local anesthesia with lidocaine,patients underwent debridement and suturing.Full thickness mattress suture was used to close the incision with tension reduction sutures.Drainage tube was placed in the bottom of the incision.All operative procedures were done by a single operator.Results：The mean operative time for bedside debridement and suturing was 42（30-72） min.Each patient tolerated well with no complication in circulation or respiration system.The drainage tube was removed after 6.5（3-20） days.The stitches were kept for 12（6-14） days.There was no recurrence of incision infection.Conclusions：Bedside debridement and suturing for lateral thoracic incision with postoperative infection after full open dressing is safe,feasible and well-tolerated in patients.The procedure can be performed by a single operator,and thus can save medical resources.
出处
《中国临床医学》
2013年第6期779-781,共3页
Chinese Journal of Clinical Medicine
关键词
胸外科手术
术后
切口感染
清创
缝合技术
Thoracic surgery
Postoperative period
Surgical wound infection
Debridement
Suture technique
