8.1;海峰;刘永利;肝癌术后腹腔感染的诊治;6500.docxVIP

请按照我发给您的3篇文章来修改 感染的主要参考“肝胆外科术后腹腔感染的综合护理”。细菌分布参考“肝癌术后感染细菌”。治疗参考另外2篇。肝癌术后腹腔感染的诊治【摘要】：目的探究肝癌切除术后腹腔感染的诊治。方法回顾性分析于我院行肝癌切除术后腹腔感染患者30例，按照数字随机法，分为观察组15例和对照组15例。观察组实施替考拉宁治疗，对照组实施万古霉素治疗，对比两种药物不良反应与临床治疗效果。结果治疗前后，两组患者白细胞计数，体温，C反应蛋白及中性粒细胞比较，无统计学差异，P＞0.05；两组腹腔分泌物培养阴性及血液细菌培养阴性时间比较，无统计学差异，P＞0.05；两组在治疗总有效率方面比较，无统计学差异，P＞0.05。观察组腹痛、发热、腹部压痛、腹胀及腹部反跳痛好转时间明显短于对照组；观察组不良反应发生率为6.67%，低于对照组的40.00%，以上差异均具有统计学意义，P＜0.05。结论对于肝癌切除术后腹腔感染患者应给予糖肽类抗菌药物治疗，该类型药物具备较高安全性，就替考拉宁与万古霉素两种药物而言，两者治疗效果显著，但万古霉素用药不良发生率较高，因此，对于肝癌术后腹腔感染患者应给予替考拉宁治疗。【关键词】：腹腔感染；肝癌切除术；革兰阳性菌Diagnosis and treatment of abdominal infection after operation of liver cancerAbstract: Objective To explore the diagnosis and treatment of abdominal infection after hepatectomy for liver cancer. Methods Retrospective analysis was performed on 30 patients with abdominal infection after liver cancer resection in our hospital. According to the digital random method, 15 cases were divided into observation group and control group 15 cases. Teicoplanin in the treatment of the observation group, control group, the implementation of vancomycin in the treatment, compared two kinds of adverse drug reactions and clinical therapeutic effect. Results Before and after the treatment, the two groups of patients with white cell count, body temperature, C reactive protein and neutrophils, there is no statistical difference (P 0.05); two groups of peritoneal exudates culture negative and blood bacterial culture negative time, there was no significant difference (P 0.05); two groups in the treatment of total efficiency had no statistical differences (P 0.05). Observing anti (abdominal pain, fever, abdominal pain, abdominal distension and abdominal to jump painful recovery time was significantly shorter than that of the control group; the incidence of adverse reactions in the observation group was 6.67%, which was lower than that of the control group (40.00%)., above difference has statistical significance, P 0.05). ConclusionsFor resection of hepatocellular carcinom