开放伤口并感染患者的监测及治疗

目的 了解创伤患者开放伤口合并细菌感染的情况。方法 回顾性分析了我院1994年9月-2002年6月收治的109例患者的临床资料。结果 感染率占总外伤住院患者的3．4％，感染患者为车祸伤、Ⅲ类开放伤口及青壮年、男性多见；急诊手术术后感染多见于择期手术，病原菌为铜绿假单胞菌、金黄色葡萄球菌、大肠埃希菌及鲍曼不动杆菌多见；所有患者均使用抗生素，最多11种，最少为2种，其中＞三联占15．6％。结论 分析了开放伤口术后感染的危险因素，讨论了清创术的重要性及伤口感染后的处理。

Open Wound Patients with Infection: Surveillance and Treatment

OBJECTIVE To understand the condition of the open wound and the infection in traumatic patients.METHODS A total of 109 cases inpatients with traumatic diseases from Sept 1994 to June 2002 were retrospectively analyzed.RESULTS The total infection rate was 3.4%. Most of these patients were in their prime of life and male as a result of traffic accident. The main pathogens were Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli, Acinetobacter baumannii, etc. All patients had antibiotics, The most kinds were 11, the least was 2, 15.6% patients had more than 3 kind antibiotics.CONCLUSIONS The risk factor of open wound and postoperative infection were analyzed.The importance of debridement and treatment of wound infection were discussed.