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本文分析我院1996年以来会阴切口感染原因,并就处理情况介绍如下。1 临床资料1.1 发病率 1996年1月至1999年6月之间行会阴切开3361例中发生切口感染77例,占2.29％。其中会阴切口全层裂开11例,均行Ⅱ期缝合而愈合。不全裂开28例中7例行Ⅱ期缝合,21例经局部换药而愈合。早期感染38例,均行局部封闭而痊愈。初产妇64例,经产妇13例。自然分娩58例,产钳助产19例。1.2 诊断标准 会阴局部疼痛明显,伤口红肿或硬结或有组织裂开,伴有脓性分泌物,体温通常在38℃以上。1.3 感染原因1.3.1 缝合失误 31例,占第l位。由于缝合过程中未恢复原有组织层次,留有死腔或血液渗出积在切口上,会阴舟状窝对合不齐,有裂隙使恶露瘀积伤口影响组织愈合。
This article analyzes the causes of perineal incision infection in our hospital since 1996, and describes the treatment as follows. 1 clinical data 1.1 morbidity January 1996 to June 1999 between the perineal incision 3361 incision infection occurred in 77 cases, accounting for 2.29%. Perineal incision in which full-thickness incision in 11 cases, were sutured and healed. Incomplete split in 28 cases, 7 cases of stage Ⅱ suture, 21 cases of local dressing and healing. Early infection in 38 cases, were partially closed and healed. 64 cases of primipara, 13 cases of maternal. 58 cases of natural childbirth, forceps midwifery in 19 cases. 1.2 diagnostic criteria obvious local perineal pain, wound swelling or induration or tissue dehiscence, accompanied by purulent secretions, body temperature usually above 38 ℃. 1.3 causes of infection 1.3.1 suture errors in 31 cases, accounting for the first l. As the original tissue level was not recovered in the suture process, leaving a dead space or blood exudation product in the incision, the perineal boat nest on the missing, there are fissures so that delusional stasis wound healing tissue.