论文部分内容阅读
患者行结肠和直肠手术,局部应用氨苄青霉素的必要性曾多次被质疑,但很少有答复。人所共知,污染的程度,手术持续时间和患者年龄是伤口感染的主要因素。而内源性污染几乎是唯一原因。以往虽有除了术前肠道准备和术后全身应用青霉素和链霉素外,局部应用氨苄青霉素能降低切口感染的报道,但目前认为术前非肠道应用氨苄青霉素和灭滴灵3天后,伤口局部用氨苄青霉素不能减少切口的进一步频繁的感染。作者报告择期进行结肠,直肠手术的患者局部应用氨苄青霉素是不必要的。将193名择期手术患者随机分为两组,其中23人因故被排除实验。所有患者在术前麻醉诱导
Patients undergoing colon and rectal surgery, the need for topical ampicillin has been questioned on many occasions, but with few answers. It is well-known that the degree of contamination, the duration of the operation, and the age of the patient are the major causes of wound infection. Endogenous pollution is almost the only reason. Although in the past except for preoperative bowel preparation and postoperative systemic application of penicillin and streptomycin, topical application of ampicillin can reduce the incision infection reported, but now that preoperative parenteral ampicillin and metronidazole 3 days, Ampicillin topically on wounds can not reduce further frequent incisional wound infections. The authors report that topical ampicillin use in patients undergoing colon and rectal surgery is not necessary. Of the 193 elective surgery patients were randomly divided into two groups, of which 23 were excluded from the experiment for some reason. All patients were anesthetized before surgery