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重症急性胰腺炎手术时机与腹腔感染关系探讨
引用本文:杨家红,张建新.重症急性胰腺炎手术时机与腹腔感染关系探讨[J].江苏大学学报(医学版),2002,12(1):25-26.
作者姓名:杨家红  张建新
作者单位:江苏大学附属医院普外科,江苏,镇江,212001
摘    要:目的 :探讨重症急性胰腺炎 (SAP)手术时机与腹腔感染的关系。方法 :回顾性分析了 1985年 1月~ 2 0 0 0年 12月施行手术的SAP 12 8例 ,对术后腹腔感染发生率进行了分析。结果 :SAP早期手术和延期手术的腹腔感染发生率分别为 76 .71%和 2 1.82 %(P <0 .0 0 5 ) ;合并真菌感染率分别为 34.2 5 %和 0 .0 0 % (P <0 .0 0 5 ) ;再次手术率分别为 45 .2 1%和 5 .45 % (P <0 .0 0 5 )。结论 :SAP延期手术较早期手术的腹腔感染发生率明显下降 ,治疗应以延期手术为主。

关 键 词:外科手术  重症  急性胰腺炎  手术时机  腹腔感染
文章编号:1006-7655(2002)01-0025-02
修稿时间:2001年4月15日

A Discussion on the Relationship between the Serious Acute Pancreatitis Operation Time and Abdominal Cavity Infection
YANG Jia-hong,ZHANG Jian-xin.A Discussion on the Relationship between the Serious Acute Pancreatitis Operation Time and Abdominal Cavity Infection[J].Journal of Jiangsu University Medicine Edition,2002,12(1):25-26.
Authors:YANG Jia-hong  ZHANG Jian-xin
Abstract:Objective: The paper discusses the relationship between the serious acute pancreatitis (SAP) operation time and abdominal cavity infection. Methods: The paper has reviewed 128 cases of SAP operations performed from Jan. 1985 to Dec. 2000 and analyzed the abdominal infection rate after the operations. Results:The infection rates of early operations and postponed operations are 76.71% and 21.82% respectively ( P <0.005). Joint fungi infection rates are,respectively,34.25% and 0.00% ( P <0.005). The reoperation rates are 45.21% and 5.45% ( P <0.005).Conclusion:Compared with early operations, the abdominal cavity infection rate of SAP postponed operation has been noticeably decreased. So postponed operation is preferrable in the treatment.
Keywords:Pancreatitis  Pancreatitis  Abdominal cavity
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