[严重腹部内感染的手术救援策略和技术]
1Research Institute of General Surgery, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China.
手术救援对于严重的腹部内感染至关重要,经常因败血症而复杂化. 早期,扩大干预和有针对性的抗生素策略,如"首先酶,然后细菌",改善了对多药耐药性感染的结果.
科学领域:
- 手术干预和传染病管理.
背景情况:
- 严重的腹腔内感染,通常表现为腹腔内败血症,是一种严重的病情,经常因败血症或败血性休克而复杂.
- 手术救援是治疗手术,创伤或急性腹部疾病引起的严重腹腔感染的重要干预措施.
研究的目的:
- 概述严重腹部内感染的有效外科救援策略.
- 确定影响手术救援结果的患者和机构因素.
- 提出针对多药耐药病原体的抗生素选择策略.
主要方法:
- 对手术救援策略的审查,包括损害控制手术和复苏.
- 描述感染源控制的逐步升级程序.
- 强调快速识别Klebsiella pneumoniae carbapenemase (KPC) 进行抗生素选择.
主要成果:
- 手术救援失败与机构因素 (医院体积,技术,人员) 和患者因素 (年龄,糖尿病,器官功能障碍) 有关.
- 有效的源控制涉及从导管切除到开腹治疗的各种程序.
- 对于产生KPC的生物体,建议采用"首先酶,然后细菌"的抗生素方法.
结论:
- 及时和升级的外科干预对于管理严重的腹内感染至关重要.
- 解决患者的并发症和优化机构资源可以提高手术救援的成功.
- 快速的KPC识别指导实证抗生素治疗针对多药耐药细菌.
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