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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

25卷

期数:

2019年05期

页码:

499-503

栏目:

临床医学

出版日期:

2019-09-20

文章信息/Info

Title:

The role of planned reoperation in the treatment of patients with severe abdominal infection

文章编号:

1006-8147(2019)05-0499-05

作者:

杨学武; 田伟军

（天津医科大学总医院普通外科，天津 300052）

Author(s):

YANG Xue-wu; TIAN Wei-jun

（Department of General Surgery, General Hospital, Tianjin Medical University, Tianjin 300052, China）

关键词:

腹腔感染; 双套管;  负压吸引;  肠内营养

Keywords:

intra-abdominal infection;  double cannula;  negative pressure;  intestinal nutrition

分类号:

R619

DOI:

-

文献标志码:

A

摘要:

目的：探讨腹部手术后患者出现消化道瘘，继发严重腹腔感染，进行计划性再手术清理腹腔感染的治疗效果。方法：回顾分析天津医科大学总医院普通外科2015 年 9 月-2018年11月共16例腹部手术后出现消化道瘘继发严重腹腔感染的患者，均应用计划性再手术。结果：通过计划性再手术，术后患者感染指标（WBC）及体温下降，APACHE II评分下降，具有统计学意义（P <0.01），除1例肝破裂、多脏器功能衰竭患者死亡外，余15例患者均恢复好转出院。结论：严重腹腔感染患者通过计划性再手术腹腔感染得到快速控制，消化道瘘愈合加速，显著降低死亡率。

Abstract:

Objective: To investigate the patients with digestive tract fistula after abdominal surgery, secondary to severe intra-abdominal infection, with planned reoperation to clean up abdominal cavity infection. Methods: A total of 16 patients with severe intra-abdominal infection secondary to digestive tract fistula after abdominal surgery from September 2015 to November 2018 in general surgery department of general hospital of Tianjin Medical University were retrospectively analyzed, and also planned to have reoperation. Results: The postoperative infection index (WBC), body temperature, and APACHE II score were significantly decreased by this method (P<0.01). Except 1 case of death secondary to liver rupture and multiple organ failure, and the remaining patients recovered and were discharged.Conclusion: In patients with severe peritoneal infection, the peritoneal infection could be rapidly controlled through planned reoperation, and the time of healing gastrointestinal fistula can be accelerated, and the mortality was significantly reduced.

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[2]张德林,李忠廉,张西波. 替加环素与碳青霉烯类抗生素治疗多重耐药鲍曼不动杆菌感染疗效比较[J].天津医科大学学报,2015,21(02):164.
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备注/Memo

备注/Memo:

作者简介 杨学武（1985-），男，硕士在读，研究方向：普通外科；通信作者：田伟军，E-mail：jonathontian@ 163.com。

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更新日期/Last Update: 2019-10-11