【摘要】 目的 :探讨食管癌切除术后减少脓胸发生的经验。 方法 :对术中污染较重者 ,用碘酒局部消毒 ,关胸前应用 0 .0 5 %的洗必太、0 .1%替硝唑氯化钠液冲洗胸腔 ,胸腔及纵隔内置入抗生素 ,根据情况置入纵隔引流管 ,术后选用有效抗生素。 结果 :连续手术切除食管癌 6 10例无脓胸发生 ,3例纵隔感染后痊愈。 结论 :充分术前准备 ,术中严格无菌操作。关胸前抗生素液反复冲洗胸腔 ,确保胸腔、纵隔引流通畅 ,选用有效抗生素及加强术后管理可防止脓胸的发生。更多还原

【Abstract】 Objective: To study method of prevention postoperative patients with esophagectomy from pyothorax. Methods: For patients occurred heavy contamination during operation, disinfect local area with iodine tincture, douche thorax cavity with chlorhexidine (0.05%) and metronidazole (0.1%) before closure of thorax. Put antibiotics into thorax and mediastinum, put mediastinum drainage tube according to different situation. Using effective antibiotics after operation. Results: 610 cases had been performed resection of esophageal carcinoma without pyothorax. 3 of them recovered from mediastinal infection. Conclusions: It can prevent patients from pyothorax to perform sufficient preoperative preparation, stern aseptic manipulation, douche thoracic cavity with antibiotics, ensure unobstructed thoracic or mediastinum drainage, choose effective antibiotics and perform intensive postoperative treatment.更多还原