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目的:分析肝切除术后腹腔感染因素,探讨其预防。方法:选择我院于2013年5月至2014年5月期间收治的40例肝恶性肿瘤患者,均接受不同量的肝切除术,并在围手术期采取干预措施;同时作引流液细菌培养,分析其结果与腹腔感染的关系。结果:随肝段切除量增加,腹腔感染发生率也随之增加;在引流液细菌培养阳性率和腹腔感染发生率方面,切除肝段≥3的患者均显著高于肝段≤2者,差异P<0.05,认为有统计学意义。结论:肝切除术采取适宜的围手术期采取干预措施,可有效降低术后腹腔感染发生率,应及早采取预防感染和抗感染措施。
Objective: To analyze the factors of abdominal infection after hepatectomy and to explore its prevention. Methods: Forty patients with liver cancer who were treated in our hospital from May 2013 to May 2014 were enrolled in this study. All patients underwent hepatectomy and perioperative intervention. At the same time, Analysis of the results and the relationship between abdominal infection. Results: With the increase of hepatic resection, the incidence of intra-abdominal infection also increased. The positive rate of bacterial culture and the incidence of abdominal infection in the drainage fluid were significantly higher than those with hepatic segment ≤ 2 P <0.05, considered statistically significant. Conclusions: Hepatectomy may take appropriate perioperative interventions, which can effectively reduce the incidence of postoperative intraperitoneal infection. Prevent infection and anti-infection should be taken as soon as possible.