腹部手术引流的正确置放和引流物判断

被引:42
作者
朱维铭
机构
[1] 南京军区南京总医院普通外科
关键词
引流; 腹腔感染; 手术并发症; 瘘;
D O I
暂无
中图分类号
R656 [腹部外科学];
学科分类号
1002 ; 100210 ;
摘要
腹腔引流虽广泛采用,但使用不合理的现象仍十分突出,主要表现在不加选择地常规放置,其原因在于对腹腔引流的风险认识不足,腹腔引流不能替代完美的手术和对病灶的满意处理。对择期手术,应争取将手术做到完美,达到不需要放置引流的程度;对急诊手术或病灶处理不满意的手术,应有选择、有目的地放置引流。引流管放置时间过长或滥放,不但达不到引流的目的,而且可能继发感染,并妨碍病人康复。预防性引流应以封闭式引流为主,治疗性引流可使用负压冲洗引流。引流物的量和性质不一定能够准确反映腹腔内的情况,应结合其他临床资料综合判断。
引用
收藏
页码:66 / 68
页数:3
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