摘要
目的:探讨急性腹膜炎手术后的常见并发症,对出现的原因进行分析,并提出处理方法。方法:回顾性分析本院2008年2月-2014年2月收治的60例急性腹膜炎术后出现并发症的患者的临床资料,对急性腹膜炎的发病原因以及手术后并发症和处理方法进行综合研究。结果:腹腔内脏器官的内源性感染和其他细菌感染是患者术后出现并发症的主要原因;要在积极治疗原发病的基础上预防感染,包括无菌操作、保护切口、腹内脓液或内容物引流、充分冲洗等,并合理使用抗生素,以减少并发症的产生。本次研究60例患者其中,53例局部性并发症(切口感染、不全肠梗阻者、腹腔脓肿和切口裂开)患者均得到成功救治;7例全身性并发症患者中3例因病势较重死亡。经过治疗,56例患者成功救治,治愈率为93.3%。结论:急性腹膜炎患者术后并发症主要是感染所致,因此在救治过程中需谨慎操作,最大限度的防治感染,预防并发症的出现。
Objective： To explore a common complication of acute peritonitis after surgery, for reasons analyzed and proposed treatment. Method： A retrospective analysis of the clinical data of 60 cases of patients with complications of acute peritonitis after surgery in our hospital from February 2008 to February 2014 were treated, the incidence of acute peritonitis causes and treatment of postoperative complications and comprehensive the study. Result： Abdominal visceral organs endogenous infections and other bacterial infections caused postoperative complications; to prevented infection on the basis of active treatment of the primary disease, included aseptic protect the incision, abdominal pus or contents of drainage, adequate washing, and the rational used of antibiotics to reduced the generation of complications. This study of 60 patients in which 53 patients localized complications（wound infection, incomplete intestinal obstruction, abdominal abscess and wound dehiscence） had been successfully treated; seven cases of systemic complications in three cases of illness in patients with severe potential death. After treatment, 56 cases of patients with successful treatment, the cure rate was 93.3%. Conclusion： Patients with acute postoperative complications peritonitis infection is mainly caused by the treatment process and therefore need to be cautious in the operation, to maximize prevention of infection, prevent the emergence of complications.
出处
《中国医学创新》
CAS
2015年第3期134-136,共3页
Medical Innovation of China
关键词
急性腹膜炎
并发症
感染
分析
Acute peritonitis
Complications
Infection
Analysis
