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初产妇作会阴切开,胎儿娩出后会阴切口分二层缝合,少部分患者可能缝合时遗留有死腔,术后积血积液,加上肠线吸收缓慢形成异物在积液的基础上引起继发感染使会阴侧切伤口全层裂开。以往裂开后的伤口处理包括应用抗菌素,局部换药和理疗,病程长达月余。从1989年10月～1990年10月我院外科门诊诊治了10例会阴侧切伤口全层裂开的患者。院外6例,院内4例,患者均系初产妇,年龄25～30岁,伤口裂开的时间长20天至2个月。伤口愈合。我们对会阴侧切全层裂开的患者施行了再次清创缝合术,取得了满意的疗效。我们的治疗方法是术前服用复方新诺明片一次1g,一日二次连服三天。大小便后伤口用1:2000的新洁而灭液冲洗消毒,裂开的伤口内塞入3%生理盐水纱布球有利于消除伤口水肿。手术时取膀胱截石位,常规消毒铺单,用含有1‰副肾
The primipara for perineal incision, the perineal incision after childbirth two sutures, a small part of the patients may be left with a dead space after suture, hemoperfusion, postoperative intestinal absorption of foreign body slowly formed on the basis of the fluid Secondary infection of the perineal side of the wound cut full thickness split. In the past, the treatment of wounds after cleavage consisted of the application of antibiotics, local dressing and physiotherapy, and the duration of the wounds lasted for more than a month. From October 1989 to October 1990, 10 cases of full-thickness perforation of perineal side-cut wounds were treated and treated in our hospital. Out-hospital 6 cases, hospital 4 cases, all patients were primipara, aged 25 to 30 years old, wound rupture time 20 days to 2 months. wound healing. We performed a full debridement of the perineal episiotomy in patients with re-debridement and suture, and achieved satisfactory results. Our treatment is taking pre-cotrimoxazole tablets 1g, twice daily for three days. After the defecation wound with 1: 2000 new clean and flushing disinfectant, split the wound into the 3% saline gauze ball is conducive to the elimination of wound edema. Bladder lithotomy position during surgery, routine disinfection shop, with 1 ‰ Vice kidney