摘要
目的 观察用含右旋糖酐 40与聚维酮碘的腹腔灌洗液对急性弥漫性腹膜炎患者术中进行腹腔灌洗的临床效果。方法 对于腹部外伤患者 ,按术中灌洗方式分为生理盐水灌洗组 (对照组 )和右旋糖酐 40与聚维酮碘腹腔灌洗组 (处理组 ) ,回顾性观察各组术后肠粘连、腹腔脓肿和伤口感染的变化。结果 处理组术后肠粘连、腹腔脓肿、伤口感染的发生率显著低于对照组 (P <0 .0 5 )。结论 右旋糖酐 40与聚维酮碘腹腔用于腹腔灌洗能有效降低急性弥漫性腹膜炎患者一期术后肠粘连、腹腔脓肿。
Objective To observe the effects of intraoperative celiac lavage with debridement solution made from povine iodine and dextran 40 on patients with acute diffuse peritonitis. Methods Patients with acute diffuse peritonitis were divided into 0.9% sodium chloride lavage group (control group) and celiac debridement solution lavage group (treating group) according to intraoperative celiac lavage method. Such indexes were observed retrospectively as postoperative intestinal adhesion, abdominal and would infection. Results The emergency of intestinal adhesion, abscess and wound infection in treating group was lower than that in control group significantly ( P <0.05). Conclusion Intraoperative celiac lavage with povine iodine and dextran 40 can reduce emergence of such postoperative symptoms as intestinal adhesion, abdominal abscess and would infection in patients with acute diffuse peritonitis.
出处
《临床军医杂志》
CAS
2002年第1期28-29,共2页
Clinical Journal of Medical Officers