外科手術部位感染的防治_《中國普外基礎與臨床雜志》

作者：

楊春明

大連醫科大學附屬第二醫院普外科（大連116023）;

關鍵詞：

外科手術部位外科感染

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每位外科醫師均會遭遇到外科感染，這是手術技術自身所決定了的，外科手術必然破壞人體宿主抵抗力的第一道防線皮膚和粘膜屏障，使得細菌得以進入體內。從外科發展歷史看，因外科感染而死亡是很常見的，特別是在19世紀末葉以前，當時截肢術死亡率在25%~90%之間，美國內戰時期則為50%左右，這主要是外源性感染所致。但從現代外科學觀點看，外科感染的內涵已發生了許多重要變化，如醫院內獲得性感染超過了患者原有的感染；體內的內源性正常菌群感染多于外源性致病細菌感染；外科手術后的手術部位感染（surgical site infection，SSI）多于需要外科處理的一般化膿性感染。其中SSI已成為值得關注的臨床課題。

引用本文： 楊春明. 外科手術部位感染的防治. 中國普外基礎與臨床雜志, 2002, 9(1): 4-5. doi: 復制

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1. Dunn DL. Infection. In: Greenfield LJ, Malholland MW, Oldham KT, et al. ed. Surgery: Scientific Principles and Practice [M]. 2nd ed. Philadelphia: LippincottRaven,1997∶159-181.
2. Sands K, Vineyard G, Platt R. Surgical site infections occurring after hospital discharge [Ｊ]. J Infect Dis, 1996; 173(4)∶963.
3. Gurevich I. Surgical site infections: simplifying the definitions [Ｊ]. Infect Control Hosp Epidemiol, 1995; 16(6)∶669.
4. Dunn DL. Diagnosis and treatment of infection. In: Norton JA, Bollinger RR, Chang AB, et al. ed. Surgery: Basic Science and Clinic Evidence [M]. New York: Springer, 2001∶193-220.
5. Anonymous.National nasocomial infections surveilance (NNIS) system report,data summery from October 1986-April 1998,issued June 1998 [Ｊ].Am J Infect Control, 1998; 26(5)∶522.
6. Howard RJ.Surgical infection.In: Schwartz SI,Shires GT,Spencer FC, et al.ed.Principles of Surgery.7th ed [M]. New York: McGrawHill, 1999∶123-139.
7. Gorecki P, Schein M, Rucinski JC. Antibiotic administration in patients undergoing common surgical procedures in a community teaching hospital: the chaos continues [Ｊ]. World J Surg, 1999; 23(4)∶433.
8. Anonymous. Antimicrobial prophylaxis in surgery [Ｊ]. Med Lett, 1995; 37(1)∶79.
9. Meier DE, Nkor SK, Aasa DA, et al. Prospective randomized comparision of two preoperative skin preparation techniques in a developing world country [Ｊ]. World J Surg, 2001; 25(4)∶441.
10. Osman MO, Jensen SL. Surgical gloves: current problems [Ｊ]. World J Surg, 1999; 23(6)∶630.

《中國普外基礎與臨床雜志》

外科手術部位感染的防治

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《中國普外基礎與臨床雜志》

外科手術部位感染的防治

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料