腹部穿透伤发生晚期合并症和死亡的主要原因,仍是腹腔脓肿。常规使用多种抗生素(如氯林霉素加妥布拉霉素)控制腹腔需氧菌和厌氧菌混合感染。头孢菌素类抗生素具有广抗菌谱,对需氧菌、厌氧菌均有效,有可能成为治疗腹部穿透伤的理想药物。近年来底特律医院对163名腹部穿透伤,用Mo-xalactam治疗78人,氯林霉素加妥布拉霉素治疗85人。具体用法是:Moxalactam2g,每8～12小时一次,氯林霉素800mg加妥布 Abdominal penetrating injury occurred late complications and death of the main reason is still abdominal abscess. A variety of antibiotics (such as clindamycin and tobramycin) are routinely used to control mixed infections of aerobic and anaerobic bacteria. Cephalosporin antibiotics with broad antimicrobial spectrum, aerobic, anaerobic bacteria are effective, may become the ideal drug for the treatment of abdominal penetrating injury. In recent years, 163 abdominal penetrating wounds have been reported at the Detroit Hospital, 78 with Mo-xalactam and 85 with clindamycin plus tobramycin. Specific usage is: Moxalactam2g, once every 8 to 12 hours, clindamycin 800mg add Tobu