【摘要】 目的探讨糖尿病患者腹部切口感染的特点及防治。方法回顾性分析1996年1月~2004年10月,452例糖尿病患者中43例腹部切口感染的临床资料。结果医院感染率为9.5%,43例患者送检标本分离出47株致病菌,其中革兰阴性菌32株,革兰阳性菌15株,对常用抗菌药物的敏感性低,合并多系统器官、多重细菌感染者治愈时间延长。结论糖尿病患者手术时腹部切口应予以保护,术毕对切口加强冲洗及消毒;对感染切口早期进行病原菌培养及药物敏感试验非常重要,术后加强支持及抗感染治疗是决定预后的关键。更多还原

【Abstract】 OBJECTIVE To explore the chara ct er of the infection of incisional wound after abdominal operation in diabetics,a nd improve its treatment and prevention. METHODS We retrospectively analyzed the c linical characteristic of 452 diabetics patients in recent 9 years. RESULTS The results showed that 43 of 452(9.5%)diabetics patients had infection of incisional wound.A total of 47 stra ins of bacteria were found from 43 patients.From them 15 were Gram positives,a nd 32 G~-.They were resistant to the commonly used antibiotics.The(hospital ized) time of patient with multiple infection was longer than others. CONCLUSIONS It is very important to have bacteria culturing and sensitivity tests of clinical specimen.The key factors af fecting the prognosis are the empirical antibiotics treatment,and giving effect ive supportive therapy to enhance the immunity.更多还原