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24例骨折术后深部感染的原因及对策
引用本文:郭志辉,李海军,袁奇亮,杨长山. 24例骨折术后深部感染的原因及对策[J]. 临床骨科杂志, 2003, 6(2): 166-167
作者姓名:郭志辉  李海军  袁奇亮  杨长山
作者单位:平顶山市第二人民医院骨科,河南,平顶山,467000;平顶山市平煤集团总医院骨科,河南,平顶山,467000
摘    要:目的 探讨骨折术后深部感染的原因、预防和治疗方法。方法 对骨折术后深部感染病灶行扩创后置管闭合灌洗。结果 24例经清创闭合灌洗平均27.5d后,感染均得以控制,效果满意。结论 骨折手术后深部感染原因是多方面的,宜积极预防,早期发现,及时扩创闭合灌洗,遗留肢体功能障碍者留待后期治疗。

关 键 词:外科伤口感染  手术后并发症  清创  闭合灌洗  骨折固定术  
文章编号:1008-0287(2003)02-0166-02
修稿时间:2002-10-17

Causes of deep infection in 24 cases of fracture after operation and its countermeasures
Guo Zhihui,Li Haijun,Yuan Qiliang,Yang Changshan. Causes of deep infection in 24 cases of fracture after operation and its countermeasures[J]. Journal of Clinical Orthopaedics, 2003, 6(2): 166-167
Authors:Guo Zhihui  Li Haijun  Yuan Qiliang  Yang Changshan
Abstract:Objective To explore the causes of deep infection after fracture operation and the prevention and treatment methods. Methods 24 cases with deep infection after fracture operation were treated by closed irrigation through drainage tube after debridement. Results The infection was satisfactorily controlled in all 24 cases after closed irrigation for an average of 27 5 d. Conclusion The causes of the deep infection after fracture operation are various. Preventive measures should be taken actively;infection should be diagnosed in the early stage, debridment of the wounds and closed irrigation should be performed in time; and those with consequent dysfunction should be left for late management.
Keywords:surgical wound infection  postoperative complications  debridement  closed irrigation  fracture fixation  internal
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