93例急性弥漫性腹膜炎临床治疗研究.doc

93例急性弥漫性腹膜炎临床治疗研究【摘要】目的 探讨和分析急性弥漫性腹膜炎的临床治疗治疗方法。方法 回顾性分析我院2008年-2010年收治的93例急性弥漫性腹膜炎患者的临床资料，治疗原发性急性弥漫性腹膜炎联合施用作用于需氧菌和厌氧菌的抗生素，治疗继发性急性弥漫性腹膜炎实施手术治疗（除病灶、吸去脓液以及修补穿孔，必要时引流腹腔）。结果 治愈52例，治愈率为55.9%（52/93），好转38例，好转率为40.9%（38/93）死亡3例，死亡率3.2%（3/93）。共有32例患者发生并发症，主要并发症为：心、肾、呼吸功能不全26例，切口感染13例，肺部感染9例，切口裂开5例，应激性溃疡3例，腹腔感染6例，急性呼吸窘迫综合征（acute respiratory distresssyndrome，ARDS）1例。结论 诊断要及时准确，抗生素要合理使用，手术力求有效、安全、简单。 【关键词】急性弥漫性腹膜炎 手术 抗生素 临床疗效 中图分类号：R572.2 文献标识码：A 文章编号：1005-0515（2011）4-028-02 93 patients with acute diffuse peritonitis clinical analysis Zhang Bin （Huaikou Jintang County, Sichuan Province Center Hospital, Chengdu 610404） 【Abstract】Objective To explore and analyze the acute diffuse peritonitis clinical treatment. Methods A retrospective analysis of our hospital in 2008 -2010 93 treated patients with acute diffuse peritonitis in patients with clinical data, treatment of acute diffuse peritonitis primary role of the joint use of antibiotics in aerobic and anaerobic bacteria, the treatment of secondary implementation of acute diffuse peritonitis surgery (except for lesions, perforation absorb pus and repair, if necessary, drainage of abdominal cavity). Results 52 patients were cured, the cure rate was 55.9% (52/93), improved in 38 cases, improvement rate was 40.9% (38/93) 3 died, the mortality rate 3.2% (3 / 93). A total of 32 patients developed complications, major complications are: heart, kidney, respiratory insufficiency in 26 cases, 13 cases of wound infection, 9 cases of pulmonary infection, wound dehiscence in 5 cases, 3 cases of stress ulcer, abdominal infection in 6 cases of acute respiratory distress syndrome (acute respiratory distresssyndrome, ARDS) 1 case. Conclusion The diagnosis should be timely and accurate, to the rational use of antibiotics, surgery to the effective, safe and simple. 【Key words】Acute diffuse peritonitis Surgery Antibiotics Clinical 我院2008年-2010年收治93例急性弥漫性腹膜炎患者，治疗原发性急性弥漫性腹膜炎联合施用作用于需氧菌和厌氧菌的抗生素，治疗继发性急性弥漫性腹膜炎实施手术治疗。现在报告如下。 1 资料和