严重腹腔感染诊治40例报告

目的：探讨严重腹腔感染的诊断及治疗。方法：回顾性分析40例严重腹腔感染患者的诊疗情况。结果：腹腔脓液细菌培养，G^-菌感染率为70％（28／40），G^＋菌感染率为42．5％（17／40），感染2种以上细菌者15例，感染率为37．5％（15／40）；死亡25例，死亡率62．5％（25／40），死亡原因为中毒性休克、多系统器官功能衰竭。结论：早期诊断及治疗；早期、及时使用抗生素降阶梯治疗策略；彻底清除腹腔感染病灶及充分的引流是取得良好疗效的充分条件。

The Diagnoses and Treatment of Severe Abdominal Cavity Infection: 40 Cases Report

Objective:To explore the diagnoses and treatment of severe abdominal cavity infection.Methods: The clinic data of 40 cases of severe abdominal cavity infection were analyzed retrospectively.Results: The germ culture of abdominal cavity purulence,G-germ infection rate was 70%(28/40),G+ germ infection rate was 42.5%(17/40);In 40 cases,15 were infected excess two kinds of germ,infection rate was 37.5%(15/40);25 cases were died of toxic shock,multiple system organ failure(MSOF),the death rate was 62.5%(25/40);Conclusion: A better curative effect was obtained due to diagnoses and treatment early.The application of De-Escalation antibiotics therapy betimes,clean up the abdominal cavity focus and effective drainage.