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近年来我院在处理会阴侧切口术中,对存在高危感染因素的64例产妇在缝合切口前后。采用甲硝唑注射液预防感染,取得满意疗效。 1.对象与方法 选择分娩产妇中,有会阴水肿,贫血,阴道炎,以及伤口开放暴露时间超过3小时以上的高危感染因素的64例,其中由卫生院已行会阴侧切后,难产而转入本院21例,产妇年龄23～35岁,均为初产妇。 方法 在会阴伤口缝合前,用0.5％甲硝唑注射液200ml冲洗切口及阴道壁,清除坏死和受污染组织,用刀片搔刮创面直至见到新鲜创面,剪去切口周边皮肤约0.2cm,以成新鲜创缘,再用甲硝唑液冲洗,无菌纱布擦净伤口,按常规逐层缝合。术毕用0.5％甲硝唑液浸湿无菌纱布,放置阴道伤口并留纱布尾(术后第一次小便取出),并使用0.5％甲硝唑100ml静滴,每天2次,共用3天。
In recent years, our hospital in the treatment of perineal incision, the presence of high-risk factors in 64 cases of maternal infection before and after suture incision. Metronidazole injection to prevent infection, and achieved satisfactory results. 1. Object and method Select delivery of mothers, there are perineal edema, anemia, vaginitis, and open wound exposure time more than 3 hours of high-risk infection in 64 cases, of which the hospital has been perineal episiotomy, dystocia and transferred 21 cases of our hospital, maternal age 23 to 35 years old, all primipara. Methods Before the perineal wound was sutured, 200% metronidazole injection was used to wash the incision and vaginal wall to remove necrotic and contaminated tissue. The wound was scraped with a razor blade until a fresh wound was seen. The skin around the incision was cut to about 0.2 cm Into a fresh wound, and then rinse with metronidazole solution, sterile gauze wipe the wound, according to conventional suture layer by layer. At the end of surgery, the sterile gauze was soaked with 0.5% metronidazole solution, vaginal wounds were left with gauze tails (the first urination was taken after the operation), and intravenous drip of 0.5% metronidazole 100ml twice daily for 3 days .