19例阑尾炎术后腹腔感染临床分析
【摘要】目的:探讨阑尾切除术后发生腹腔感染的临床表现、诊断和治疗疗效。方法:对已有明确脓肿定位者及时引流,盆腔脓肿经直肠引流,对单个的与腹壁间无肠管阻隔的脓肿,采用B超引导下经皮置管引流。结果:直接途径引流效果为好,不易导致炎症扩散。有急腹症表现以及腹腔多发性脓肿须引流者宜做剖腹探查,且术后用抗生素和甲硝唑抗感染效果好。结论:引流及抗生素的应用可有效防治阑尾切除术后腹腔感染。【关键词】阑尾切除术;术后;感染分析
doi:10.3969/j.issn.1006-1959.2010.09.021文章编号:1006-1959(2010)-09-2321-01
Clinic analysis of 19 cases of abdominal infection after appendectomyZHAO Shu-yongShijia Township Center Hospital in Shizhong District of Neijiang City,Sichuan (641007),China
【Abstract】Objective:To study the clinical Manifestation, diagnostic points and therapeutic effects of abdominal infection after appendectomy.Methods:The patients with accurate localization diagnosis of celiac abscess were done the timely drainage,which with pelvic abscess was treated by rectal drainage,and which with single abscess without intestine barrier between the abscess and abdominal wall was treated by percutaneous catheter drainage under ultrasound guidance.Results:The direct drainage has good effects on celiac abscess in postoperative acute appendicitis, which can effectively reduce the inflammatory diffusion.The patients with acute abdominal symptoms and multiple celiac abscess should be done the exploratory laparotomy before the drainage.After the operation,the combined application of antibiotics and metronidazole had good therapeutic effects on the abdominal infection.Conclusion:The proper drainage and early application of antibiotics can effectively control the abdominal infection after appendectomy. ......
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