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肝胆外科术后腹腔感染的综合护理 被引量:15

Integrated nursing for abdominal infections after hepatobiliary surgery
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摘要 目的探讨肝胆外科术后腹腔感染的综合护理方法。方法回顾性分析2009年1月-2011年12月51例肝胆外科术后出现腹腔感染患者的临床资料,所有患者术后采用通畅引流、负压吸引、理疗等综合护理方法。结果 51例腹腔感染患者中送检标本培养阳性67例次,其中单一菌感染35例次,混合感染16例次;共检出病原菌67株,位居前3位的病原菌分别为粪肠球菌22株占32.8%、大肠埃希菌16株占23.9%、屎肠球菌12株占17.9%;所有患者经积极综合护理治疗后,47例治愈,治愈率为92.2%,4例死亡。结论对肝胆外科术后腹腔感染的患者采用综合护理措施,有助于控制和治疗感染,降低患者的死亡率。 OBJECTIVE To explore the integrated nursing of abdominal infection after hepatobiliary surgery.METHODS We retrospectively analyzed the clinical data of 51 patients with abdominal infections after hepatobiliary surgery between Jan 2009 and Dec 2011.All of the patients were treated by the method of the integrated nursing including unobstructed drainage,vacuum suction,and physiotherapy.RESULTS Of 51 patients with abdominal infections,were isolated,there were 35 case-times of single bacterial infectinos and 16 case-times of wixed infections and totally 61 strains of patnogens were isolated.among which the top three pathogens causing infections were 22(32.8%) strains of Enterococcus faecalis,16(23.9%) strains of Escherichia coli,and 12(17.9%) strains of Enterococcus faecium;After the integrated nursing for all the patients,forty-seven patients were cured with the effective rate of 92.2 %,4 cases were dead.CONCLUSION To adopt the integrated nursing for abdominal infections after hepatobiliary surgery can contribute to the control and treatment of the infections and decrease the mortality of the patients.
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2012年第21期4758-4760,共3页 Chinese Journal of Nosocomiology
关键词 肝胆外科 腹腔感染 护理 Hepatobiliary surgery Abdominal infection Nursing
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