| 陈锋伟.急诊胸腹创伤手术后切口感染的病原菌分布和相关因素分析[J].浙江中西医结合杂志,2014,24(7): |
| 急诊胸腹创伤手术后切口感染的病原菌分布和相关因素分析 |
| Analysis of Pathogenic bacteria distribution and relative factors for incision infections after emergency thoracic and abdominal surgery |
| 投稿时间：2013-09-24 修订日期：2013-11-27 |
| DOI： |
| 中文关键词: 急诊 胸腹创伤 手术 切口感染 |
| 英文关键词:Emergency Trauma of thoracic and abdominal site Surgery Incision infecion |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨急诊胸腹创伤手术后切口感染的病原菌分布和相关因素分析。方法：选取我院急诊外科接受胸腹创伤手术的患者232例,对其手术后切口感染的病菌分布和引起感染的因素进行回顾性分析。结果：急诊胸腹创伤手术后切口感染的病原菌主要以革兰阴性菌为主,占54.55%,感染病原菌中以金黄色葡萄球菌、大肠埃希菌和铜绿假单胞菌最多,各占18.18%；与术后切口感染相关的因素有切口类型、切口长度、手术时间、围术期抗菌药物的使用、损伤类型及部位、有无其他部位损伤等。结论：应对造成急诊胸腹创伤手术后切口感染的因素包括切口类型、切口长度、手术时间、围术期抗菌药物的使用、损伤类型及部位、有无其他部位损伤等进行有效控制,降低感染率或避免感染的发生。 |
| 英文摘要: |
| Objective: To investigate the pathogen distribution and the relatede factors for incision infections after emergency thoracic and abdominal surgery. Methods: 232 cases of patients that performed surgery in the surgery of emergency call of our hospital were selected, Result: Gram-negative bacteria were predominant pathogens causing postoperative incision infections, accounting for 54.55%. Among all pathogens, Staphylococcus aureus accounted for 18.18%, Escherichia coli accounted for 18.18%, and Pseudomonas aeruginosa accounted for 18.18%. The factors relating to the emergency thoracic and abdominal surgery wound infection include the type of incision, length of incision, operation duration, use of antibacterial drugs in perioperative, injury types and locations, and other site injuries and so on. Conclusion: The factors relating to the emergency thoracic and abdominal surgery wound infection include the type of incision, length of incision, operation duration, use of antibacterial drugs in perioperative, injury types and locations, and other site injuries, needed to be effective controlled, that it can decrease the infectious rate or avoid the occurrence of infection. |
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