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目的通过对一起由于手术方式的改变导致术后感染原因分析,为医院感染的原因调查与分析及预防措施提供参考。方法 2010年1月-2011年2月某二级医院妇产科,18例腔镜手术中7例出现术后发热,该院及省内专家对此事件进行了流行病学、病史、环境卫生学调查,并采用了模拟手术再现的回顾性研究方法,对事件原因进行分析。结果找到此次术后感染的主要原因,采取有效预防措施,及时阻止术后医院感染继续发生。结论该次术后医院感染主要与手术医师操作失误、导致盆腔感染有关,也与围手术期抗菌药物使用不当等原因有关。
Objective To analyze the causes of postoperative infection due to the change of surgical methods and to provide reference for the investigation and analysis of causes of nosocomial infections and preventive measures. Methods From January 2010 to February 2011, obstetrics and gynecology department of a second-class hospital and post-operative fever in 18 cases of endoscopic surgery were retrospectively analyzed. The hospital and the experts in this province conducted epidemiological, medical history and environmental sanitation Study, and retrospective study of simulated surgeries was used to analyze the causes of the events. Results The main reason for finding this postoperative infection, to take effective preventive measures to prevent postoperative hospital infection continues to occur. Conclusions The postoperative nosocomial infection is mainly related to the operation errors of the surgeon, the pelvic infection and improper use of antibacterial drugs during the perioperative period.