Chymotrypsin and gentamicin after washing dressing 78 cases observed.doc

 PAGE \* MERGEFORMAT 5 Chymotrypsin and gentamicin after washing dressing 78 cases observed [Keywords] chymotrypsin High and high complex anal abscess, fistula, poor postoperative drainage, edema, poor healing caused by infection, so dressing become an important treatment since March 2004 when, using chymotrypsin dissolved in saline plus gentamicin wash deep wounds, a significant clinical effect, as follows. 1 Materials and Methods 1.1 General Information 78 patients were male and 61 cases, 17 females, aged 16 to 72 years, duration of 5 d ~ 24 years high abscess in 43 cases, high complex anal fistula 35 cases. Ischial rectal abscess or fistula in the space of 42 cases, post-anal , the former deep-space, 26 cases of rectal space in 17 cases, pelvic rectal space in 11 cases, rectal submucosal space in 2 cases. 1.2 Methods Routine intravenous broad-spectrum antibiotics and anti-anaerobic drugs 3 ~ 5 d, normal bleeding, pain. Will control 1 d, 2 day, dressing lithotomy position, slowly pull out the abscess, fistula and anal canal filling Vaseline gauze, hip Xiadian curved plate, chymotrypsin 4 000 U, gentamicin pin 8 to 16 million U by adding 500 mL of 0.9% sodium chloride dissolved with 20 mL of this solution, syringe pump, remove the needle , accompanied by flushing pipe flushing cavity, anal canal anal stretching horn mirror washing, hung inside the mouth gently pull the rubber band, repeatedly washed until the clear liquid to flow, continuous flushing 1 to 2 weeks. and then the physiological salt the wound cavity did not cotton scrub the residue off the scab, iodophor disinfection, dripping with salt water to not screw loose gauze packing cavity for drainage or drainage counterparts, for use in post-discharge came from a gauze Lithospermum , and should prevent the bridge-type healing, until the wounds healed. 2 Results Refer to lt;lt;Chinese Anorectal Syndrome Diagnostic efficacy of the standardgt;gt; [1] .78 patients by applying the