脊柱术后伤口感染.ppt

Locally traumatized areas should be allowed to heal before an incision is made JENNIFERB . MASSIE B, S Postoperative Posterior Spinal Wound Infections。Clinical Orthopaedics and Related Research 1992；284：99-108 抗生素 The role of prophylactic antibiotics in spinal surgery is well established 术前即刻应用抗生素 术后应用多长时间，决定于患者体质，手术时间，术中出血，固定节段等 Honvit7, N. H., and Curtin, J. A,: Prophylactic antibiotics and wound infections following laminectomy for lumbar disc herniation-a retrospective study. J. Neurosurg. 43:727. 1975. 抗生素的选择 个体化 二代头孢是经济的选择 如术前合并其他系统感染，应根据培养结果 术中伤口冲洗 a solution of povidone–iodine (PVP