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目的探讨应急状况下妇产科急诊手术的实施及安全性。方法收集22例破坏性大地震后在临时手术场地及地震棚内救治的妇科及产科有创急诊患者,对其手术的实施及安全性加以分析。结果22例患者中,11例开腹手术在特定相对清洁环境进行手术,11例在地震棚内顺产患者均行会阴侧切。22例患者在常规使用抗生素情况下,其术后体温、血象均在正常范围,无一例出现感染征象;1例阴道残端用丝线缝合的患者术后随访残端愈合良好。结论在破坏性大地震后,应注意手术场地划分,减少可能引起术后感染的高危因素;常规预防使用抗生素,在手术环境的改变的情况下任然能预防患者术后的感染;在无可吸收线的情况下,丝线缝合阴道残端也可作为妇科医师的一种选择。
Objective To investigate the implementation and safety of obstetrics and gynecology emergency surgery under emergency conditions. Methods Twenty-two cases of gynecological and obstetric emergency patients who were treated in temporary surgical field and earthquake shelter after 22 devastating earthquakes were collected and their operation and safety were analyzed. Results Of the 22 patients, 11 underwent laparotomy in a specific relative clean environment and 11 underwent crescent excision in the earthquake shed. In the routine use of antibiotics, 22 patients had normal postoperative body temperature and hemogram, and none of them showed signs of infection. One case of sutured patients with vaginal stump healed well after operation. Conclusion After the devastating earthquake, attention should be paid to the classification of surgical sites to reduce the risk factors that may lead to postoperative infection. Conventional prophylaxis with antibiotics can prevent postoperative infection in patients under changing surgical environment. Absorption of thread, the suture of vaginal stumps can also be used as a gynecologist’s choice.