摘要
腹腔引流是外科常用的预防与治疗腹腔感染手段之一,科学合理地使用引流能够快速有效的控制外科感染,改善临床预后。腹腔引流留置时应遵循彻底引流、保持通畅的原则,根据病情选择合适型号与材质的引流管。胆道感染和重症胰腺炎的引流应采用个体化方案。应尽早放置引流,但引流管不宜放置时间过长,在感染治愈时及时拔除,应尽可能地采用微创方法放置引流。腹腔引流不适当的应用可引起一系列的并发症,如感染、出血、吻合口不愈合、肠瘘和肠梗阻等。外科医师应根据具体病情实施个体化引流方案。
Drainage is one of common methods for treating surgical infection. Proper time and methods of drainage utilization are effective for infection control and can get a better outcome. Draining thoroughly and keeping patency are basic principles during abdominal drainage. In addition, appropriate model and texture of tube are necessary. Individualized draining plan should be carried out for biliary duct infection and severe pancreatitis. Drainage should be placed as early as possible when infection and removed timely. Minimally invasive technology should be considered possibility. However, there are a series of complications, like infection, blooding, fistula and intestinal obstruction, if it was not used correctly. Surgeons should make the individualized drainage plan for every patient.
出处
《中国实用外科杂志》
CSCD
北大核心
2016年第2期143-146,共4页
Chinese Journal of Practical Surgery
关键词
腹腔引流
外科感染
peritoneal drainage
surgical infection
