目的 了解单纯胆囊切除术围手术期应用预防性抗生素的作用。
方法 对我院普外一科1998年1月至1999年12月2年间所施行的642例择期单纯胆囊切除术围手术期抗生素的使用、细菌培养结果和切口感染情况进行回顾性分析。
结果 642例根据其抗生素应用情况分为未用抗生素组(n=220)、术前30分钟一次性给药组(n=200)和术后3天持续用药组(n=222) 3组,3组患者之性别、年龄构成情况、全身状况及发生术后切口感染情况间的差异均无显著性意义(P>0.05); 对642例中随机选择52例行术中胆囊胆汁培养,结果47例无细菌生长。
结论 对单纯胆囊切除术患者术前无感染前提下,不用或仅术前30分钟一次性使用抗生素是安全可行的,这对缩短患者住院日,减少其医疗费用具有积极的意义。
Citation:
李宁,周涌,朱精强. SIMPLE CHOLECYSTECTOMY AND USING ANTIBIOTIC IN PERIOPERATIVE PERIOD(ANALYSIS OF 642 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(5): 340-340下转343. doi:
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Kitagawa Y, Ueda M, Ando N, et al. Rapid diagnosis of methicillim resistant staphy lococcus aures bacteriemia by nested PCR. Ann Surg, 1996; 224(5)∶665.
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2. |
Daniel K, Thomas G, Savel, et al. Surgical antibiotic phophylaxis and clostridium difficile foxin positivity. Anch Surg, 1995; 130∶989.
|
3. |
Sirinek KR, Schane PR, Yelin AE, et al. Sing dose cetureoxine versus multiple doses cetazolin as phophy lactic therapy for high risk cholecystectomy. J Am Cell Surgeons, 1994; 178(8)∶321.
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- 1. Kitagawa Y, Ueda M, Ando N, et al. Rapid diagnosis of methicillim resistant staphy lococcus aures bacteriemia by nested PCR. Ann Surg, 1996; 224(5)∶665.
- 2. Daniel K, Thomas G, Savel, et al. Surgical antibiotic phophylaxis and clostridium difficile foxin positivity. Anch Surg, 1995; 130∶989.
- 3. Sirinek KR, Schane PR, Yelin AE, et al. Sing dose cetureoxine versus multiple doses cetazolin as phophy lactic therapy for high risk cholecystectomy. J Am Cell Surgeons, 1994; 178(8)∶321.