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腹腔器官手术后炎症并发症的治疗比较复杂,因为往往有预防性使用抗生素的背景,大多数病原菌对抗生寨耐药,面病人抗生素过敏者增多;但又不能根据微生物学检查有针对性地选择药物,也不能排除在初期可能是无菌性炎症。所以近年来常用物理疗法,包括抗炎剂量的X线放疗。作者观察腹腔器官手术后化脓性炎症并发症82例,多半发生在胃、阑尾和胆囊切除术后,腹腔(71例)或腹壁(11例)有炎症浸润物,26例有瘘管。考虑到这类病例治疗困难,在综合治疗中使用抗炎剂量的X线放疗,总吸收剂量2～2.5Gy。同时注意合理的营养,补给蛋白质、糖和维生素,维持水盐代谢和酸硷平均,特别是有瘘管的病例,输液补给营养26例。使用半合成青霉素,配合氨基甙类抗生素,第2疗程用头孢菌素类。病人分两组,第1组44例,抗生素第2疗程无效以后(即炎症并发症8～15天)才使用X线放疗。
The treatment of inflammatory complications after abdominal organ surgery is more complicated, because there are often backgrounds for the preventive use of antibiotics, most pathogens are resistant to drug resistance, and patients with antibiotic allergy are more common; but they cannot be selectively targeted according to microbiological examinations. Drugs can not rule out the possibility of aseptic inflammation at the initial stage. So in recent years, commonly used physical therapy, including anti-inflammatory doses of X-ray radiotherapy. The authors observed 82 cases of purulent inflammatory complications after abdominal organ surgery, most of which occurred after the stomach, appendix, and cholecystectomy. There were inflammatory infiltrates in the abdominal cavity (71 cases) or abdominal wall (11 cases), and 26 cases had fistulas. Taking into account the difficult treatment of such cases, the use of anti-inflammatory doses of X-ray radiotherapy in a comprehensive treatment, the total absorbed dose of 2 ~ 2.5Gy. At the same time, we paid attention to reasonable nutrition, supplemented with protein, sugar and vitamins, and maintained water and salt metabolism and the average acid and phlegm. In particular, there were cases of fistulas and 26 infusions were supplemented with nutrition. Use semi-synthetic penicillin with aminoglycosides and cephalosporins for the second course of treatment. The patients were divided into two groups. The first group consisted of 44 patients and X-ray radiotherapy was used only after the second course of antibiotics was invalid (ie, the complications of inflammation were 8 to 15 days).