| 清创术对手部创面细菌分布的影响 |
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| 引用本文： | 陈宏,王欣,陈青山,章伟文,陈德松.清创术对手部创面细菌分布的影响[J].实用骨科杂志,2003,9(3):202-204. |
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| 作者姓名： | 陈宏 王欣 陈青山 章伟文 陈德松 |
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| 作者单位： | 1. 浙江省宁波市第六医院,315040
2. 复旦大学附属华山医院,200040 |
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| 摘 要： | 目的：了解清创过程对开放性手外创面常见污染细菌种类的影响。方法：200例开放性手外伤，于急诊室、手术室刷洗创面后、清创后、关闭伤口前分四次取材，作细菌培养及药敏试验。结果：急诊室、手术室刷洗创面后、消创后及关闭伤口前的细菌检出率分别为71．5％(143／200)，74．0％(148／200)，33．5％(67／200)及25．50％(51／200)。术后伤口感染率为3．5％(7／200)。结论：开放性手外创伤面菌种分布广泛，彻底的清创及保持手术室常用器具的清洁是降低术后感染的有效措施。
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| 关 键 词： | 清创术 手部创面 细菌分布 手部感染 医院感染 细菌培养 外科治疗 抗生素 术后感染 |
| 文章编号： | 1008-5572(2003)03-0202-03 |
| 修稿时间： | 2002年12月4日 |
Effect of debridement on bacterical distribution of open hand injury |
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| Chen Hong,Wang Xin,Chen Qingshan,Zhang Weiwen,Chen Desong.Effect of debridement on bacterical distribution of open hand injury[J].Journal of Practical Orthopedics,2003,9(3):202-204. |
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| Authors: | Chen Hong Wang Xin Chen Qingshan Zhang Weiwen Chen Desong |
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| Abstract: | Objective:To study the effect of debridement on bacterial distribution of open hand injury.Methods:Bacterial from wound was cultivated individually in the emergency room,after the wound scrubbed,after debridement and before wound closure in randomly selected 200 patients of open hand surgery.Results:The percentages of cultivated bacterial from the wound in the emergency room,after the wound scrubbed,after debridement and before wound closure were 71.5 %(143/200),74.0 %(148/200),33.5 %(67/200) and 25.5 %(51/200),3.5 %(7/200) of patients presented postoperative wound infection.Conclusion:The bacterial species of open hand injury were widespread distributed,trorough debridement and keeping operative instruments clearing are the main measures to decrease the post-operative infection. |
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| Keywords: | Open injury Hand injury Hospital infection Bacteria culture Surgical treatment |
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